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Organization

METROPOLITAN ORAL AND MAXILLOFACIAL SURGEONS PA

Active
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Organization

METROPOLITAN ORAL AND MAXILLOFACIAL SURGEONS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELE ANN HORNER (ADMINISTRATIVE ASSISTANT)
(763) 257-0530
Entity
Organization

Contact information

Practice address
2855 CAMPUS DR, STE 670, PLYMOUTH, MN 55441-2649
(763) 520-1234
(763) 520-1233
Mailing address
2855 CAMPUS DR, STE 670, PLYMOUTH, MN 55441-2649
(763) 520-1234
(763) 520-1233

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9698
MN

Other

Enumeration date
09/26/2006
Last updated
05/22/2008
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