MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1093775272

Practice Address

707 N MICHIGAN ST
SUITE 300
South Bend, IN 46601

Phone: (574) 289-0080

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 12008287 (IN)

Frequently Asked Questions

NPI 1093775272 is the National Provider Identifier for MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC, a Dentist - Oral and Maxillofacial Surgery provider located in South Bend, IN. This NPI was enumerated on March 23, 2006.

Quick Facts

NPI
1093775272
Type
Organization
Enumerated
Mar 23, 2006
Last Updated
Apr 18, 2012

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