| NPI | 1902993819 |
|---|---|
| Former Legal Business Name | ORAL AND MAXILLOFACIAL SURGERY, P.C. |
| Doing Business As | GREATER MICHIGAN ORAL SURGEONS & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A KERN Credentialing & Billing 810-424-0705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-08-28 |