EDISON LAKES ORAL SURGERY, P.C.

Oral and Maxillofacial Surgery Clinic/Center

NPI: 1881887065Organization

Specialties, Licenses & Credentials

Oral and Maxillofacial Surgery (Dentist)

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

Oral and Maxillofacial Surgery Clinic/CenterPrimary

Clinic/Center — Oral and Maxillofacial Surgery

Code: 261QS0112X

12010802A(IN)

Contact & Hours

Address: 3367 DOUGLAS RD
SOUTH BEND, IN 46635
Phone: (574) 272-8823

Quick Facts

NPI: 1881887065
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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