South Suburban Oral & Maxillofacial Surgeons Ltd

NPI #1134103674 in Burnsville, Minnesota

Provider Information

NPI Number
1134103674
Entity Type
Organization
Organization Name
South Suburban Oral & Maxillofacial Surgeons Ltd
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 29, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
625 EAST NICOLLET BOULEVARD
Address 2
SUITE 205
ZIP Code
55337-6735
Phone
(952) 435-0310

Authorized Official

Name
DR. LAWRENCE A PALMERSHEIM, DDS
Title
CEO
Phone
(952) 435-0310

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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