Family Oral Surgery Specialists, Plc | |
261 County Road 10 Ne Ste 10 Blaine MN 55434-1020 | |
(763) 786-9644 | |
(763) 786-8602 |
Full Name | Family Oral Surgery Specialists, Plc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 261 County Road 10 Ne Ste 10, Blaine, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Oral Surgery Specialists, Plc 261 County Road 10 Ne Ste 10 Blaine MN 55434-1020 Ph: (763) 786-9644 | Family Oral Surgery Specialists, Plc 261 County Road 10 Ne Ste 10 Blaine MN 55434-1020 Ph: (763) 786-9644 |
NPI Number | 1730838186 |
---|---|
Provider Enumeration Date | 03/22/2022 |
Last Update Date | 03/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730838186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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