Organization
ORAL FACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R HUGHES DDS (CEO)
(320) 235-1803
Entity
Organization
Contact information
Practice address
1029 19TH AVE SW, WILLMAR, MN 56201
(320) 235-1803
(320) 235-6097
Mailing address
1029 19TH AVE SW, WILLMAR, MN 56201
(320) 235-1803
(320) 235-6097
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2006
Last updated
08/22/2020
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