Organization
ADVANCED ORAL SURGERY, PLLC
Active
Other names
Council Bluffs Oral Surgery, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY WIEMER (PRACTICE ADMINISTRATOR)
(402) 934-8999
Entity
Organization
Contact information
Practice address
3265 S 24TH ST, COUNCIL BLUFFS, IA 51501-6901
(402) 934-8999
Mailing address
5040 S 153RD ST, OMAHA, NE 68137-5067
(402) 934-8999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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