NPI 1063781086

Harbor View Oral and Facial Surgery LLC

Organisation Oral and Maxillofacial Surgery (Dentist) Gulfport, MS

Practice location

Address: 1301 25th Avenue Suite 3, Gulfport, MS 39501
Phone: (228) 867-0121
Fax: (228) 867-0252

Authorised official

Name: Jason O Rosetti
Title: Owner/Provider
Phone: (228) 867-0121

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 335805 (MS)

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Registry record

NPI: 1063781086
Entity type: Organization
NPI issued: 20 Dec 2011
Record last updated: 20 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.