Organization · Type 2 NPI

Downriver Surgery Center, PC

Oral and Maxillofacial Surgery (Dentist) · Wyandotte, MI

NPI number 1023295474 Active

Practice location

1823 Fort St
Wyandotte, MI 48192-3545

Fax (734) 285-5375

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901012910 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3 other providers at this address

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About NPI 1023295474

Downriver Surgery Center, PC's National Provider Identifier is 1023295474, issued on Jan 29, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wyandotte, MI. The record was last updated on Jun 11, 2008.