Oral & Maxillofacial Surgery Specialists, PA

NPI #1508160060 in Cambridge, Minnesota

Provider Information

NPI Number
1508160060
Entity Type
Organization
Organization Name
Oral & Maxillofacial Surgery Specialists, PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 27, 2010
Last Updated
Jul 29, 2014

Practice Location

Address
1595 2ND AVE NE STE 120
ZIP Code
55008-8071
Phone
(763) 757-2220

Authorized Official

Name
KIRBY CHARLES JOHNSON, DDS
Title
PRESIDENT
Phone
(612) 788-9246

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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