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Organization
NORTH COAST ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Organization
NORTH COAST ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Other names
Marianne L. Coburn, D.D.S., Terence P. Kelly, D.D.S., & John Helmkamp,
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE PATRICK KELLY D.D.S. (PRESIDENT)
(419) 627-8131
Entity
Organization
Contact information
Practice address
2500 W. STRUB RD., NOMS PROFESSIONAL BLDG. #1, SANDUSKY, OH 44870
(419) 627-8131
(419) 621-1773
Mailing address
2500 W. STRUB RD., NOMS PROFESSIONAL BLDG. #1, SANDUSKY, OH 44870
(419) 627-8131
(419) 621-1773
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
02/07/2007
Last updated
02/02/2011
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