Associated Oral & Maxillofacial Surgeons Sc
NPI #1528241486 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1528241486
- Entity Type
- Organization
- Organization Name
- Associated Oral & Maxillofacial Surgeons Sc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ASSOCIATED ORAL AND MAXILLOFACIAL
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- N89 W16785 APPLETON AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051
- Phone
- (262) 253-6588
Authorized Official
- Name
- DR. TERRENCE JOHN RIESCH, DDS
- Title
- PRESIDENT
- Phone
- (262) 253-6588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist |
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