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Advanced Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Lakeville, Minnesota
NPI 1295218303

Advanced Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Lakeville, MN and is specialized in Oral and Maxillofacial Surgery. Advanced Oral Surgery practices in Lakeville, MN. The NPI Number for Advanced Oral Surgery is 1295218303 and holds a License No. (Minnesota).

The current practice location address for Advanced Oral Surgery is 19925 Idealic Ave, Lakeville, MN and can be reached out via phone at 507-327-9574.

Location: 19925 Idealic Ave, Lakeville, MN, 55044-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295218303
Provider Name
Advanced Oral Surgery
Credential
Provider Entity Type
Organization
Address
19925 Idealic Ave, Lakeville, MN, 55044-1600
Phone Number
507-327-9574
Fax Number
Provider Enumeration Date
09/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023307113 05 FL
institution
Provider Business Practice Location Address Details
Address
19925 Idealic Ave
City
Lakeville
State
Minnesota
Zip
55044-2003
Phone Number
507-327-9574
Fax Number
person
Provider Business Mailing Address Details
Address
19925 Idealic Ave
City
Lakeville
State
Minnesota
Zip
55044-2003
Phone Number
507-327-9574
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
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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