Organization
ORAL SURGERY ASSOCIATES PC
Active
Organization
ORAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANN GODWIN DMD (ORAL SURGEON)
(636) 532-3525
Entity
Organization
Contact information
Practice address
16216 BAXTER RD, SUITE 250, CHESTERFIELD, MO 63017
(636) 532-3525
(636) 532-5782
Mailing address
16216 BAXTER RD, SUITE 250, CHESTERFIELD, MO 63017
(636) 532-3525
(636) 532-5782
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
013223
MO
Other
Enumeration date
09/22/2006
Last updated
03/13/2008
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