Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES MOIR DDS (SURGEON)
(989) 732-1727
Entity
Organization
Contact information
Practice address
785 E M32, GAYLORD, MI 49735
(989) 732-1727
(989) 732-1728
Mailing address
785 E M32, GAYLORD, MI 49735
(989) 732-1727
(989) 732-1728
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2901010349
MI
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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