Bluestone Oral and Maxillofacial Surgery, P.a.
NPI #1326290727 in Cloquet, Minnesota
Provider Information
- NPI Number
- 1326290727
- Entity Type
- Organization
- Organization Name
- Bluestone Oral and Maxillofacial Surgery, P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 16, 2008
- Last Updated
- Oct 16, 2008
Practice Location
Authorized Official
- Name
- MRS. JEAN DIANE SOUTHWORTH
- Title
- BUSINESS MANAGAER
- Phone
- (218) 727-8994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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