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Organization
STARR ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization
STARR ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Other names
Starr Oral Surgery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN C. STARR DDS (ORAL & MAXILLOFACIAL SURGEON)
(812) 318-1023
Entity
Organization
Contact information
Practice address
473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 318-1023
Mailing address
473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 318-1023
(812) 318-1643
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
03/25/2020
Last updated
06/22/2020
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