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1821010497
MAXILLOFACIAL AND ORAL SURGERY PA
MINNEAPOLIS, MN
NPI
1821010497
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Entity Type
Organization
Authorized Contact
JAMES Q SWIFT
President
651-842-3344
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2006-07-24
Last Update Date
2008-01-29
Business Address
MAXILLOFACIAL AND ORAL SURGERY PA
7-174 MOOS TOWER 515 DELAWARE STREET SE
MINNEAPOLIS, MN 55155-0329
Phone number: 651-842-3344
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Mailing Address
MAXILLOFACIAL AND ORAL SURGERY PA
2854 HIGHWAY 55 SUITE 130
EAGAN, MN 55121-1405
Phone number: 651-842-3344
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