Organization
MIDWEST ORAL & MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WARREN HUELER DDS (PRESIDENT)
(952) 226-7940
Entity
Organization
Contact information
Practice address
13875 HWY 13 FRONTAGE RD, STE 50, SAVAGE, MN 55378
(952) 226-7940
(952) 226-7949
Mailing address
13875 HWY 13 FRONTAGE RD, STE 50, SAVAGE, MN 55378
(952) 226-7940
(952) 226-7949
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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