Organization · Type 2 NPI

Wakarusa Oral Surgery, LC

Oral and Maxillofacial Surgery (Dentist) · Lawrence, KS

NPI number 1306076971 Active

Practice location

4901 Legends Dr
Lawrence, KS 66049-5800

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6706 (KS)

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.

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About NPI 1306076971

Wakarusa Oral Surgery, LC's National Provider Identifier is 1306076971, issued on Jul 17, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lawrence, KS. The record was last updated on Jul 17, 2009.