Grand Traverse Oral Surgery, P.c.

NPI 1003095605 - Dentist - 1223S0112X

NPI Details
NPI 1003095605
Enumeration Date 10/31/2007
Last Updated 03/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN J. SUSAN
Position OFFICE MANAGER
Phone (231) 946-3512
Fax (231) 946-1908
Practice Location
12776 S WEST BAY SHORE DR
TRAVERSE CITY MI, 49684-5451, US
Phone (231) 946-3512
Fax (231) 946-1908
Business Location
12776 S WEST BAY SHORE DR
TRAVERSE CITY MI, 49684-5451, US
Phone (231) 946-3512
Fax (231) 946-1908
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1003095605 NPI Number
 

According to our database, Grand Traverse Oral Surgery, P.c. NPI is 1003095605, taxonomy code is 1223S0112X Grand Traverse Oral Surgery, P.c. physically located at 12776 S West Bay Shore Dr, Traverse City MI, 49684-5451. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003095605 NPI number is provided on an as is basis without warranty of any kind. 1003095605 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Traverse Oral Surgery, P.c. are for informational purposes only.