Organization
CADILLAC ORAL SURGERY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA S. VANDERHOOF (OFFICE MANAGER)
(231) 775-1268
Entity
Organization
Contact information
Practice address
855 S CARMEL ST, CADILLAC, MI 49601-2344
(231) 775-1268
(231) 775-1190
Mailing address
855 S CARMEL ST, CADILLAC, MI 49601-2383
(231) 775-1268
(231) 775-1190
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
12/07/2012
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