Organization
AFFILIATED ORAL SURGEONS
Active
Organization
AFFILIATED ORAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN A LUNA D.D.S.,M.S. (OWNER)
(419) 331-0000
Entity
Organization
Contact information
Practice address
505 N CABLE RD, LIMA, OH 45805-2132
(419) 331-0000
Mailing address
505 N CABLE RD, LIMA, OH 45805-2132
(419) 331-0000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30020543
OH
Other
Enumeration date
10/25/2006
Last updated
04/04/2008
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