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ORAL & FACIAL SURGERY CENTER PA

Surgery Yellow Pages

Fayetteville, Arkansas

Provider NPI: 1891744462

Organization Information:
Organization Name:  ORAL & FACIAL SURGERY CENTER PA


Practice Location:
3996 N FRONTAGE RD  FAYETTEVILLE, AR 72703 US
Tel: 479-582-3002  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
Y204E00000XPhysicians
Oral & Maxillofacial Surgery

Other Provider Identifiers:

IssuerNumberStateType
127319680AR05
230273680AR05
239128680AR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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