| NPI | 1881887065 |
|---|---|
| Doing Business As | ORAL SURGERY MICHIANA |
| Entity Type | Organization |
| Authorized Contact | EDWARD CHARLES COLLINS Owner 574-272-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IN 12010802A) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2024-05-06 |