Organization
WEST SHORE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T. BURYE DDS (OWNER)
(231) 733-1571
Entity
Organization
Contact information
Practice address
5957 HARVEY ST, NORTON SHORES, MI 49444-9737
(231) 733-1571
(231) 733-5228
Mailing address
5957 HARVEY ST STE 200, NORTON SHORES, MI 49444-6735
(231) 733-1571
(231) 733-5228
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
B7708N
MI
Other
Enumeration date
01/31/2007
Last updated
06/12/2020
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