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Organization
AOSDI, GLENN J MAKOWSKI, DMD, MD, PC
Active
Organization
AOSDI, GLENN J MAKOWSKI, DMD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MAKOWSKI DMD, MD (OWNER, ORAL MAXILLOFACIAL SURGEON)
(417) 623-2000
Entity
Organization
Contact information
Practice address
2602 CUNNINGHAM AVE, JOPLIN, MO 64804-1542
(417) 623-2000
(417) 623-7948
Mailing address
2602 CUNNINGHAM AVE, JOPLIN, MO 64804-1542
(417) 623-2000
(417) 623-7948
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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