| Oral & Maxillofacial Surgery Clinic Inc. | |
|
910 Madison Ave Ste 710 Memphis TN 38103-3453 | |
| (901) 526-3988 | |
| (901) 526-9807 |
| Full Name | Oral & Maxillofacial Surgery Clinic Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 910 Madison Ave Ste 710, Memphis, Tennessee |
| Authorized Official Name and Position | Isaac Fordjour (PRESIDENT) |
| Authorized Official Contact | 9015263988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Clinic Inc. 910 Madison Ave Ste 710 Memphis TN 38103-3453 Ph: (901) 526-3988 | Oral & Maxillofacial Surgery Clinic Inc. 910 Madison Ave Ste 710 Memphis TN 38103-3453 Ph: (901) 526-3988 |
| NPI Number | 1427471382 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427471382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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