SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD

SHEBOYGAN, WI
NPI1306894134
Entity TypeOrganization
Authorized ContactJOHN JAY KELLER
President
920-458-8213
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2006-05-04
Last Update Date2009-01-21
Business Address
SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD
.3637 WILGUS AVENUE
SHEBOYGAN, WI 53081
Phone number: 920-458-8213
Mailing Address
SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD
3637 WILGUS AVENUE
SHEBOYGAN, WI 53081
Phone number: 920-458-8213
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