Organization
MIDWESTERN ORAL SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY REIDER (PRESIDENT MIDWESTERN CLINICAL OPS.)
(313) 582-8150
Entity
Organization
Contact information
Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-8150
(313) 582-6015
Mailing address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-8150
(313) 582-6015
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
N/A
—
Other
Enumeration date
05/08/2006
Last updated
05/08/2017
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