Organization · Type 2 NPI
Oral and Maxillofacial Surgery of Minnesota PLLC
Oral and Maxillofacial Surgery (Dentist) · Willmar, MN
Practice location
1029 19th Ave SW
Willmar, MN 56201-5005
Mailing address
15170 N Florida Ave
Tampa, FL 33613-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
2 other providers at this address
About NPI 1942072871
Oral and Maxillofacial Surgery of Minnesota PLLC's National Provider Identifier is 1942072871, issued on Oct 24, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Willmar, MN. The record was last updated on Oct 25, 2023.