Organization · Type 2 NPI
Oconomowoc Dental Anesthesia Center
Oral and Maxillofacial Surgery Clinic/Center · Oconomowoc, WI
NPI number
1053972661
Active
Practice location
888 Thackeray Trl Ste 214
Oconomowoc, WI 53066-4342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: 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.
Another provider at this address
About NPI 1053972661
Oconomowoc Dental Anesthesia Center's National Provider Identifier is 1053972661, issued on Jun 25, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Oconomowoc, WI. The record was last updated on Jun 25, 2019.