Organization
FAMILY ORAL SURGERY SPECIALISTS, PLC
Active
Parent organization
FAMILY ORAL SURGERY SPECIALISTS, PLC
Other names
Metro Dentalcare Blaine 10
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY ORAL SURGERY SPECIALISTS, PLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
261 COUNTY ROAD 10 NE STE 10, BLAINE, MN 55434-1020
(763) 786-9644
(763) 786-8602
Mailing address
261 COUNTY ROAD 10 NE STE 10, BLAINE, MN 55434-1020
(763) 786-9644
(763) 786-8602
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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