Organization
ORAL SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M ROSLING (OFFICE MANAGER)
(406) 728-6840
Entity
Organization
Contact information
Practice address
1547 S HIGGINS AVE, MISSOULA, MT 59801-4226
(406) 728-6840
(406) 728-1012
Mailing address
1547 S HIGGINS AVE, MISSOULA, MT 59801-4226
(406) 728-6840
(406) 728-1012
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
621111
MT
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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