Oral Surgery Assoc Ltd
NPI #1013020866 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1013020866
- Entity Type
- Organization
- Organization Name
- Oral Surgery Assoc Ltd
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 464 SOUTH HICKORY STREET
- Address 2
- SUITE A
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935
- Phone
- (920) 923-0111
Authorized Official
- Name
- DR. GUY K JENSEN, DDS MS
- Title
- OWNER
- Phone
- (920) 923-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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