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Organization
ORAL SURGERY CENTER PC
Active
Organization
ORAL SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN FLOWER DMD (PRESIDENT ORAL SURGEON)
(402) 644-4452
Entity
Organization
Contact information
Practice address
2501 LAKERIDGE DR, NORFOLK, NE 68701
(402) 644-4452
(402) 644-4454
Mailing address
2501 LAKERIDGE DR, NORFOLK, NE 68701
(402) 644-4452
(402) 644-4454
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
04/20/2008
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