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 |