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A.DESROSIERS III, M.D., CORP

Physicians Oral & Maxillofacial Surgery

Provider NPI: 1790161172

Organization Information:
Organization Name:  A.DESROSIERS III, M.D., CORP
Organization is not Subpart
Authorized Official:  ARTHUR  DESROSIERS  CEO  305-403-2922

Practice Location:
6705 S RED ROAD SUITE 516 CORAL GABLES, FL 33143 US
Tel: 305-403-2922  Fax: 305-517-3130

Business Mailing Address:
6705 S RED ROAD SUITE 516 CORAL GABLES, FL 33143 US
Tel: 305-403-2922  Fax: 305-517-3130

NPI Information:
NPI: 1790161172
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N204E00000XPhysicians
Oral & Maxillofacial Surgery
FLME110935
N2082S0105XPhysicians
Plastic Surgery
FLME110935
Y208200000XPhysicians
Plastic Surgery
FLME110935

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208200000X

Type:

Classification:



Definition:



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