Edison Lakes Oral Surgery, P.c.
NPI #1881887065 in South Bend, Indiana
Provider Information
- NPI Number
- 1881887065
- Entity Type
- Organization
- Organization Name
- Edison Lakes Oral Surgery, P.c.
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 22, 2007
- Last Updated
- May 6, 2024
Practice Location
- Address
- 3367 DOUGLAS RD
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1779
- Phone
- (574) 272-8823
Authorized Official
- Name
- DR. EDWARD CHARLES COLLINS III, DDS, MS
- Title
- OWNER
- Phone
- (574) 272-8823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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