Organization
THE IMPLANT AND ORAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD R. MCLAURIN DMD, MD (ORAL SURGEON)
(859) 498-6204
Entity
Organization
Contact information
Practice address
204 BEVINS LN, SUITE F, GEORGETOWN, KY 40324-6139
(502) 863-1402
(502) 863-1405
Mailing address
204 BEVINS LN, SUITE F, GEORGETOWN, KY 40324-6139
(502) 863-1402
(502) 863-1405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
06/09/2009
Last updated
06/23/2009
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