Affiliated Oral Surgeons
Dentist, Oral and Maxillofacial Surgery in Lima, OH. Organization (NPI-2).
NPI number1114001997
StatusActive
Last updated in NPPESApr 4, 2008
Details
- NPI
- 1114001997
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Oral Surgeons
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Apr 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 30020543 | OH | Yes |
Practice location
505 N Cable RdLima, OH 45805-2132
Phone 419-331-0000
Mailing address
505 N Cable RdLima, OH 45805-2132
Phone 419-331-0000
Authorized official
Bryan A Luna
Owner
4193310000
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