Organization
DOWNRIVER SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MORRIS DDS (PRESIDENT)
(734) 285-2550
Entity
Organization
Contact information
Practice address
1823 FORT ST, WYANDOTTE, MI 48192-3545
(734) 285-2550
(734) 285-5375
Mailing address
1823 FORT ST, WYANDOTTE, MI 48192-3545
(734) 285-2550
(734) 285-5375
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901012910
MI
Other
Enumeration date
01/29/2008
Last updated
06/11/2008
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