Oral and Maxillofacial Surgical Consultants PA

NPI #1265650956 in Wayzata, Minnesota

Provider Information

NPI Number
1265650956
Entity Type
Organization
Organization Name
Oral and Maxillofacial Surgical Consultants PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 20, 2007
Last Updated
Jun 25, 2015

Practice Location

Address
250 CENTRAL AVE N
Address 2
SUITE126
ZIP Code
55391-1206
Phone
(952) 475-2266

Authorized Official

Name
DEBI A KECKHAFER
Title
PRACTICE MANAGER
Phone
(952) 841-9658

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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