| West Coast Center For Jaw Surgery | |
|
10850 Sheldon Rd Tampa FL 33626-5117 | |
| (813) 926-5989 | |
| (813) 926-0790 |
| Full Name | West Coast Center For Jaw Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10850 Sheldon Rd, Tampa, Florida |
| Authorized Official Name and Position | Teresa L. Colburn Bird (PRACTICE MANAGER) |
| Authorized Official Contact | 8139265989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Center For Jaw Surgery 10850 Sheldon Rd Tampa FL 33626-5117 Ph: (813) 926-5989 | West Coast Center For Jaw Surgery 10850 Sheldon Rd Tampa FL 33626-5117 Ph: (813) 926-5989 |
| NPI Number | 1952672511 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952672511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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