Oral Surgery Assoicates, Pc

NPI 1033223250 - Dentist - 1223S0112X

NPI Details
NPI 1033223250
Enumeration Date 08/17/2006
Last Updated 05/09/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KENNETH J KENNETH
Position PRESIDENT
Phone (616) 942-2000
Fax (616) 942-6805
Practice Location
3300 BURTON ST SE
GRAND RAPIDS MI, 49546-4398, US
Phone (616) 942-2000
Fax (616) 942-6805
Business Location
3300 BURTON ST SE
GRAND RAPIDS MI, 49546-4398, US
Phone (616) 942-2000
Fax (616) 942-6805
Toxanomy
Taxonomy Code 1223S0112X
License State Michigan
License Number 1223S00112X
Remove 1033223250 NPI Number
 

According to our database, Oral Surgery Assoicates, Pc NPI is 1033223250, taxonomy code is 1223S0112X and license number is 1223S00112X, license state is located at Michigan. Oral Surgery Assoicates, Pc physically located at 3300 Burton St Se, Grand Rapids MI, 49546-4398. NPI Number 1033115704 has the healthcare provider type.

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1033223250 NPI number is provided on an as is basis without warranty of any kind. 1033223250 is maintained by the National Plan & Provider Enumeration System. The contents of Oral Surgery Assoicates, Pc are for informational purposes only.