WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC

OAK CREEK, WI
NPI1013409002
Doing Business AsWHITE OAK DENTAL
Entity TypeOrganization
Authorized ContactEJLAL ALALAWI
Owner/Provider
914-325-5672
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Additional Taxonomies261QD0000X Clinic/Center, Dental
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC
2603 W RAWSON AVE STE 123
OAK CREEK, WI 53154-8422
Phone number: 914-325-5672
Mailing Address
WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC
124 LEGEND WAY
WALES, WI 53183-9539
Phone number: 914-325-5672