Organization
ORAL SURGERY ASSOCIATES OF LANSING PC
Active
Other names
Ionia Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E PERSICO DMD (OWNER)
(517) 349-8383
Entity
Organization
Contact information
Practice address
5238 W ST JOE HWY, SUITE 2, LANSING, MI 48917-4085
(517) 323-1000
(517) 886-5566
Mailing address
4201 OKEMOS RD, OKEMOS, MI 48864-3200
(517) 349-8383
(517) 349-5566
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
05/05/2015
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