Organization
MID MICHIGAN ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT V BENIVEGNA DDS (DOCTOR OWNER VICE PRESIDENT)
(517) 337-9759
Entity
Organization
Contact information
Practice address
325 W LAKE LANSING RD, EAST LANSING, MI 48823-8524
(517) 337-9759
(517) 337-8156
Mailing address
325 W LAKE LANSING RD, EAST LANSING, MI 48823-8524
(517) 337-9759
(517) 337-8156
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/23/2005
Last updated
06/25/2024
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