Organization
LEGACY ORAL AND FACIAL SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALBERT W FEAR JR. DDS.,MS. (OWNER)
(734) 395-9532
Entity
Organization
Contact information
Practice address
2521 JACKSON AVE, ANN ARBOR, MI 48103-3818
(734) 210-0677
(734) 210-1273
Mailing address
3706 CREEKSIDE CT, ANN ARBOR, MI 48105-9570
(734) 395-9532
(740) 919-5871
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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