Oral and Maxillofacial Surgery Center of Lafayette

NPI #1154411163 in Lafayette, Indiana

Provider Information

NPI Number
1154411163
Entity Type
Organization
Organization Name
Oral and Maxillofacial Surgery Center of Lafayette
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 13, 2006
Last Updated
Feb 27, 2009

Practice Location

Address
2020 UNION STREET
Address 2
SUITE 200
State
Indiana
ZIP Code
47904
Phone
(765) 446-8808

Authorized Official

Name
COURTNEY A JAMES
Title
OFFICE MANAGER
Phone
(765) 446-8808

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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