South Suburban Oral & Maxillofacial Surgeons Ltd

NPI 1134103674 - Dentist - 1223S0112X

NPI Details
NPI 1134103674
Enumeration Date 11/29/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LAWRENCE A LAWRENCE
Position CEO
Phone (952) 435-0310
Fax (952) 435-0311
Practice Location
625 EAST NICOLLET BOULEVARD
SUITE 205
BURNSVILLE MN, 55337-6735, US
Phone (952) 435-0310
Fax (952) 435-0311
Business Location
625 EAST NICOLLET BOULEVARD
SUITE 205
BURNSVILLE MN, 55337-6735, US
Phone (952) 435-0310
Fax (952) 435-0311
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1134103674 NPI Number
 

According to our database, South Suburban Oral & Maxillofacial Surgeons Ltd NPI is 1134103674, taxonomy code is 1223S0112X South Suburban Oral & Maxillofacial Surgeons Ltd physically located at 625 East Nicollet Boulevard, Burnsville MN, 55337-6735. NPI Number 1033115704 has the healthcare provider type.

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1134103674 NPI number is provided on an as is basis without warranty of any kind. 1134103674 is maintained by the National Plan & Provider Enumeration System. The contents of South Suburban Oral & Maxillofacial Surgeons Ltd are for informational purposes only.