| The Center For Jaw Surgery | |
|
3716 N Roosevelt Blvd Key West FL 33040-4533 | |
| (954) 981-4896 | |
| Not Available |
| Full Name | The Center For Jaw Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3716 N Roosevelt Blvd, Key West, Florida |
| Authorized Official Name and Position | Ira E Stone (OWNER) |
| Authorized Official Contact | 9549814896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Jaw Surgery 3716 N Roosevelt Blvd Key West FL 33040-4533 Ph: (954) 981-4896 | The Center For Jaw Surgery 3716 N Roosevelt Blvd Key West FL 33040-4533 Ph: (954) 981-4896 |
| NPI Number | 1114397759 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114397759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12214 (Florida) | Primary |
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