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Wisconsin Oral & Maxillofacial Surgery Llc
Oral and Maxillofacial Surgery Clinic/Center in Oak Creek, Wisconsin
NPI 1013409002

Wisconsin Oral & Maxillofacial Surgery Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Wales, WI and is specialized in Oral and Maxillofacial Surgery. Wisconsin Oral & Maxillofacial Surgery Llc practices in Oak Creek, WI. The NPI Number for Wisconsin Oral & Maxillofacial Surgery Llc is 1013409002 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Oral & Maxillofacial Surgery Llc is 2603 W Rawson Ave Ste 123, Oak Creek, WI and can be reached out via phone at 914-325-5672.

Location: 2603 W Rawson Ave Ste 123, Oak Creek, WI, 53183-9539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013409002
Provider Name
Wisconsin Oral & Maxillofacial Surgery Llc
Credential
Provider Entity Type
Organization
Address
2603 W Rawson Ave Ste 123, Oak Creek, WI, 53183-9539
Phone Number
914-325-5672
Fax Number
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2603 W Rawson Ave Ste 123
City
Oak Creek
State
Wisconsin
Zip
53154-8422
Phone Number
914-325-5672
Fax Number
person
Provider Business Mailing Address Details
Address
2603 W Rawson Ave Ste 123
City
Oak Creek
State
Wisconsin
Zip
53154-8422
Phone Number
914-325-5672
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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