VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C. is an oral and maxillofacial surgery clinic center in Vidalia, GA. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C. NPI is 1063682680. The provider is registered as an organization entity type.
The provider's business location address is:
310 MAPLE DR
VIDALIA, GA
ZIP 30474-909
Phone: (912) 537-4119
Fax: (912) 537-9117
The provider's authorized official is Ronald O Mosley .
The authorized official title is President and has the following contact phone number (912) 537-4119.
The enumeration date for this NPI number is 3/11/2008 and was last updated on 3/11/2008.