Organization · Type 2 NPI

Community Oral and Maxillofacial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Milwaukee, WI

NPI number 1962178970 Active

Practice location

408 W Florida St Ste 105
Milwaukee, WI 53204-1509

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1962178970

Community Oral and Maxillofacial Surgery, LLC's National Provider Identifier is 1962178970, issued on Aug 19, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 29, 2022.