ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WESTERN MICHIGAN PLC

GRAND RAPIDS, MI
NPI1598772626
Entity TypeOrganization
Authorized ContactJ MARK DOMIN
Member
616-791-9600
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Enumeration Date2006-08-02
Last Update Date2010-04-12
Business Address
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WESTERN MICHIGAN PLC
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-4785
Phone number: 616-791-9600
Mailing Address
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WESTERN MICHIGAN PLC
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-4785
Phone number: 616-791-9600
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