Oral Surgery P.l.l.c

NPI 1295133460 - Dentist - 1223S0112X

NPI Details
NPI 1295133460
Enumeration Date 12/19/2014
Last Updated 12/19/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name AMY AMY
Position TX COORDINATOR
Phone (586) 323-1600
Fax (586) 323-1644
Practice Location
51745 VAN DYKE AVE
SHELBY TOWNSHIP MI, 48316-4451, US
Phone (586) 323-1600
Fax (586) 323-1644
Business Location
51745 VAN DYKE AVE
SHELBY TOWNSHIP MI, 48316-4451, US
Phone (586) 323-1600
Fax (586) 323-1644
Toxanomy
Taxonomy Code 1223S0112X
License State Michigan
License Number 2901019237
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According to our database, Oral Surgery P.l.l.c NPI is 1295133460, taxonomy code is 1223S0112X and license number is 2901019237, license state is located at Michigan. Oral Surgery P.l.l.c physically located at 51745 Van Dyke Ave, Shelby Township MI, 48316-4451. NPI Number 1033115704 has the healthcare provider type.

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1295133460 NPI number is provided on an as is basis without warranty of any kind. 1295133460 is maintained by the National Plan & Provider Enumeration System. The contents of Oral Surgery P.l.l.c are for informational purposes only.