ORAL SURGERY ASSOC LTD

FOND DU LAC, WI
NPI1013020866
Entity TypeOrganization
Authorized ContactGUY K JENSEN
Owner
920-923-0111
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: WI  5000111-015)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: WI  5001856-015)
Enumeration Date2006-08-16
Last Update Date2020-08-22
Business Address
ORAL SURGERY ASSOC LTD
464 SOUTH HICKORY STREET SUITE A
FOND DU LAC, WI 54935
Phone number: 920-923-0111
Mailing Address
ORAL SURGERY ASSOC LTD
464 SOUTH HICKORY STREET SUITE A
FOND DU LAC, WI 54935
Phone number: 920-923-0111