Northern Oral & Maxillofacial Surgeons, Pa

NPI 1013068691 - Dentist - 1223S0112X

NPI Details
NPI 1013068691
Enumeration Date 01/12/2007
Last Updated 12/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES R CHARLES
Position PRESIDENT
Phone (715) 682-2660
Fax (715) 682-4882
Practice Location
1419 BEASER AVE
ASHLAND WI, 54806-3616, US
Phone (715) 682-2660
Fax (715) 682-4882
Business Location
1419 BEASER AVE
ASHLAND WI, 54806-3616, US
Phone (715) 682-2660
Fax (715) 682-4882
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
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According to our database, Northern Oral & Maxillofacial Surgeons, Pa NPI is 1013068691, taxonomy code is 1223S0112X Northern Oral & Maxillofacial Surgeons, Pa physically located at 1419 Beaser Ave, Ashland WI, 54806-3616. NPI Number 1033115704 has the healthcare provider type.

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1013068691 NPI number is provided on an as is basis without warranty of any kind. 1013068691 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Oral & Maxillofacial Surgeons, Pa are for informational purposes only.