Organization
COLUMBUS ORAL & MAXILLOFACIAL SURGERY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KAISER (OFFICE MANAGER)
(812) 372-7312
Entity
Organization
Contact information
Practice address
2350 NORTHPARK, COLUMBUS, IN 47203-4466
(812) 372-7312
(812) 378-9451
Mailing address
2350 NORTHPARK, COLUMBUS, IN 47203-4466
(812) 372-7312
(812) 378-9451
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54000102A
IN
Other
Enumeration date
12/28/2006
Last updated
04/10/2008
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