Great Lakes Oral & Maxillofacial Surgery, P.a.
NPI #1902116288 in Hudson, Wisconsin
Provider Information
- NPI Number
- 1902116288
- Entity Type
- Organization
- Organization Name
- Great Lakes Oral & Maxillofacial Surgery, P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 20, 2010
- Last Updated
- Oct 20, 2010
Practice Location
Authorized Official
- Name
- DR. RICHARD WILLIAM BRUNTON, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 351-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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