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Organization
ORAL SURGERY CENTER OF ELKHART, INC
Active
Organization
ORAL SURGERY CENTER OF ELKHART, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D HEWITT D.D.S. (PRESIDENT / OWNER)
(574) 532-3085
Entity
Organization
Contact information
Practice address
232 WATERFALL DR, ELKHART, IN 46516-3668
(574) 532-3085
Mailing address
232 WATERFALL DR, ELKHART, IN 46516-3668
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007801
IN
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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