| Oral Surgery Center Of West Orlando | |
|
12200 W Colonial Dr Suite 103 Winter Garden FL 34787-4125 | |
| (407) 656-9455 | |
| (407) 656-6145 |
| Full Name | Oral Surgery Center Of West Orlando |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12200 W Colonial Dr, Winter Garden, Florida |
| Authorized Official Name and Position | Hector L Briceno (ORAL SURGEON) |
| Authorized Official Contact | 4076569455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Center Of West Orlando 12200 W Colonial Dr Suite 103 Winter Garden FL 34787-4125 Ph: (407) 656-9455 | Oral Surgery Center Of West Orlando 12200 W Colonial Dr Suite 103 Winter Garden FL 34787-4125 Ph: (407) 656-9455 |
| NPI Number | 1588878441 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 07-00004492 (Florida) | Primary |
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