# ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578596177
- **Authorized official:** MRS. KIMBERLY JO URBAN R.D.A. (PRACTICE MANAGER)
- **Authorized official phone:** (507) 625-9330

## Contact information

- **Practice address:** 1990 PREMIERE DR, MANKATO, MN 56001-5900
- **Practice address phone:** (507) 625-9330
- **Practice address fax:** (507) 625-1440
- **Mailing address:** 1990 PREMIERE DR, MANKATO, MN 56001-5900
- **Mailing address phone:** (507) 625-9330
- **Mailing address fax:** (507) 625-1440

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/22/2020