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Central Wisconsin Oral And Facial Surgery, Llc
Oral and Maxillofacial Surgery (Dentist) in Antigo, Wisconsin
NPI 1477065787

Central Wisconsin Oral And Facial Surgery, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Beaufort, WI and is specialized in Oral and Maxillofacial Surgery. Central Wisconsin Oral And Facial Surgery, Llc practices in Antigo, WI. The NPI Number for Central Wisconsin Oral And Facial Surgery, Llc is 1477065787 and holds a License No. 5831-15 (Wisconsin).

The current practice location address for Central Wisconsin Oral And Facial Surgery, Llc is 438 Edison St, Antigo, WI and can be reached out via phone at 715-432-4565.

Location: 438 Edison St, Antigo, WI, 29902-8002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477065787
Provider Name
Central Wisconsin Oral And Facial Surgery, Llc
Credential
Provider Entity Type
Organization
Address
438 Edison St, Antigo, WI, 29902-8002
Phone Number
715-432-4565
Fax Number
Provider Enumeration Date
10/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
438 Edison St
City
Antigo
State
Wisconsin
Zip
54409-1845
Phone Number
715-432-4565
Fax Number
person
Provider Business Mailing Address Details
Address
438 Edison St
City
Antigo
State
Wisconsin
Zip
54409-1845
Phone Number
715-432-4565
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5831-15 (Wisconsin)
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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