National Provider Identifier Database

BROWARD ORAL SURGERY PA
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

BROWARD ORAL SURGERY PA
3157 N UNIVERSITY DR STE 104
PEMBROKE PINES, FL33024-2258
Phone: 954-431-1600
Fax: 954-432-7994
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for BROWARD ORAL SURGERY PA

NPI Number 1568095255
Legal business name
LBN
BROWARD ORAL SURGERY PA
Authorized official LAITH AZZOUNI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/20/2020
Last updated 02/20/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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