ORAL FACIAL AND PERIODONTAL SURGERY LLC

RACINE, WI
NPI1144772906
Entity TypeOrganization
Authorized ContactMARY BALLARD
Owner
262-886-0147
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2016-10-27
Last Update Date2024-09-30
Business Address
ORAL FACIAL AND PERIODONTAL SURGERY LLC
5801 WASHINGTON AVE
RACINE, WI 53406
Phone number: 262-886-0147
Mailing Address
ORAL FACIAL AND PERIODONTAL SURGERY LLC
5801 WASHINGTON AVE
RACINE, WI 53406
Phone number: 262-886-0147
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