Advanced Oral Surgery

NPI #1295218303 in Lakeville, Minnesota

Provider Information

NPI Number
1295218303
Entity Type
Organization
Organization Name
Advanced Oral Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 13, 2018
Last Updated
Sep 13, 2018

Practice Location

Address
19925 IDEALIC AVE
ZIP Code
55044-2003
Phone
(507) 327-9574

Authorized Official

Name
DR. JONATHAN MCCABE, DMD, MD
Title
ORAL & MAXILLOFACIAL SURGEON
Phone
(507) 327-9574

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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