Great Lakes Oral & Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Stillwater, MN and is specialized in Oral and Maxillofacial Surgery. Great Lakes Oral & Maxillofacial Surgery, P.a. practices in Stillwater, MN. The NPI Number for Great Lakes Oral & Maxillofacial Surgery, P.a. is 1508058322 and holds a License No. 10762 (Minnesota).
The current practice location address for Great Lakes Oral & Maxillofacial Surgery, P.a. is 2850 Curve Crest Blvd, Stillwater, MN and can be reached out via phone at 651-351-1010 and via fax at 651-351-9333.
Identifier | Type | State | Issuer |
---|---|---|---|
33714200 | 01 | WI | MEDICAL ASSISTANCE |
CC02769 | 05 | MN | |
616822100 | 01 | MN | MEDICAL ASSISTANCE |
88A90BR | 01 | MN | BLUE CROSS BLUE SHIELD |
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