Organization
MAXILLOFACIAL AND ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES Q SWIFT DDS (PRESIDENT)
(651) 842-3344
Entity
Organization
Contact information
Practice address
7-174 MOOS TOWER, 515 DELAWARE STREET SE, MINNEAPOLIS, MN 55155-0329
(651) 842-3344
Mailing address
2854 HIGHWAY 55, SUITE 130, EAGAN, MN 55121-1405
(651) 842-3344
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
01/29/2008
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