Face and Jaw Surgeons PC

NPI #1104863505 in Minot, North Dakota

Provider Information

NPI Number
1104863505
Entity Type
Organization
Organization Name
Face and Jaw Surgeons PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 2, 2006
Last Updated
Jun 8, 2017

Practice Location

Address
2615 ELK DR
Address 2
SUITE 3
City
Minot
ZIP Code
58701-1200
Phone
(701) 852-3421

Authorized Official

Name
JOSEPH R DEATHERAGE, DMD MD
Title
DMD MD
Phone
(701) 258-7220

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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