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Oral Surgery, Dental Specialists

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ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC

Oral and Maxillofacial Pathology

Grand Rapids, Michigan

Provider NPI: 1548283559

Organization Information:
Organization Name:  ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
Organization is not Subpart
Authorized Official:  KIM L ERICKSON  OWNER  616-9775000

Practice Location:
4500 CASCADE RD SE SUITE #208 GRAND RAPIDS, MI 49546 US
Tel: 616-977-5000  Fax: 616-977-0020

Business Mailing Address:
4500 CASCADE RD SE SUITE #208 GRAND RAPIDS, MI 49546 US
Tel: 616-977-5000  Fax: 616-977-0020

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X1223P0106XDental Providers
Dentist
Oral and Maxillofacial Pathology
MIKE011553
X1223S0112XDental Providers
Dentist
MIKE011553
X1223X0008XDental Providers
Dentist
MIKE011553





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