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Organization

SUMMIT ORAL & MAXILLOFACIAL SURGERY PC

Active
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Organization

SUMMIT ORAL & MAXILLOFACIAL SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANE M WINDISCH (BILLING SPECIALIST)
(586) 755-9340
Entity
Organization

Contact information

Practice address
29427 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-9341
Mailing address
29425 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-9341

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
11/08/2006
Last updated
09/14/2009
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