| Oral Maxillofacial And Implant Specialists, Llc | |
|
4675 Van Dyke Rd. Lutz FL 33558 | |
| (813) 609-4486 | |
| (813) 609-4565 |
| Full Name | Oral Maxillofacial And Implant Specialists, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4675 Van Dyke Rd., Lutz, Florida |
| Authorized Official Name and Position | Alejandro Caribas (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 8136094486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial And Implant Specialists, Llc 4675 Van Dyke Rd. Lutz FL 33558 Ph: (813) 609-4486 | Oral Maxillofacial And Implant Specialists, Llc 4675 Van Dyke Rd. Lutz FL 33558 Ph: (813) 609-4486 |
| NPI Number | 1801353792 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801353792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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