EDISON LAKES ORAL SURGERY, P.C.

Oral and Maxillofacial Surgery Clinic/Center · SOUTH BEND, IN

Organization Active NPI 1881887065

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery Clinic/Center261QS0112X12010802AIN
Oral and Maxillofacial Surgery (Dentist)1223S0112X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.