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Organization

THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SHEETS (ORAL SURGEON)
(573) 785-8471
Entity
Organization

Contact information

Practice address
936 IDA ST, POPLAR BLUFF, MO 63901-4210
(573) 785-8471
Mailing address
936 IDA ST, POPLAR BLUFF, MO 63901-4210

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12546
MO

Other

Enumeration date
03/28/2007
Last updated
08/22/2020
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