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Organization
ORAL AND MAXILLOFACIAL SURGERY OF MINNESOTA PLLC
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY OF MINNESOTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARBICK DMD MD (OWNER)
(813) 755-9100
Entity
Organization
Contact information
Practice address
1029 19TH AVE SW, WILLMAR, MN 56201-5005
(320) 235-1803
Mailing address
15170 N FLORIDA AVE, TAMPA, FL 33613-1229
(813) 755-9100
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
10/24/2023
Last updated
10/25/2023
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