# ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Water Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104911056
- **Authorized official:** KATHERINE ANNE LAFLEUR MBA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (218) 722-1854

## Contact information

- **Practice address:** 1000 E 1ST ST STE 108, DULUTH, MN 55805-2297
- **Practice address phone:** (218) 722-1854
- **Practice address fax:** (218) 722-6424
- **Mailing address:** 1000 E 1ST ST STE 108, DULUTH, MN 55805-2297
- **Mailing address phone:** (218) 722-1854
- **Mailing address fax:** (218) 722-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 02/06/2025