EDISON LAKES ORAL SURGERY, P.C.
Clinic/Center - Oral and Maxillofacial Surgery
Active
Organization
NPI: 1881887065
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | - |
| Clinic/Center - Oral and Maxillofacial Surgery | 261QS0112X | Yes | 12010802A (IN) |
Frequently Asked Questions
NPI 1881887065 is the National Provider Identifier for EDISON LAKES ORAL SURGERY, P.C., a Clinic/Center - Oral and Maxillofacial Surgery provider located in South Bend, IN. This NPI was enumerated on August 22, 2007.
Quick Facts
- NPI
- 1881887065
- Type
- Organization
- Enumerated
- Aug 22, 2007
- Last Updated
- May 6, 2024
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DR. ROBERT LEE, M.D.
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DR. MICHAEL MANBECK, M.D.
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DR. OLIVER GILLIAM, M.D.
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