Organization
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KEVIN MARLOW D.M.D. (PRESIDENT)
(507) 625-9330
Entity
Organization
Contact information
Practice address
2717 SUPERIOR DR NW, SUITE B, ROCHESTER, MN 55901-3035
(507) 281-5820
Mailing address
2717 SUPERIOR DR NW, SUITE B, ROCHESTER, MN 55901-3035
(507) 281-5820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D38MA
BLUE CROSS BLUE SHIELD
MN
05
—
857932600
—
MN
Enumeration date
11/06/2008
Last updated
11/06/2008
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