EDISON LAKES ORAL SURGERY, P.C.

SOUTH BEND, IN
NPI1881887065
Doing Business AsORAL SURGERY MICHIANA
Entity TypeOrganization
Authorized ContactEDWARD CHARLES COLLINS
Owner
574-272-8823
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
(Licence: IN  12010802A)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2007-08-22
Last Update Date2024-05-06
Business Address
EDISON LAKES ORAL SURGERY, P.C.
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823
Mailing Address
EDISON LAKES ORAL SURGERY, P.C.
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823