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Center For Oral And Maxillofacial Surgery

Clinic/Center, Oral and Maxillofacial Surgery in Westlake, OH. Organization (NPI-2).

NPI number1861663106
StatusActive
Last updated in NPPESJul 31, 2008

Details

NPI
1861663106
Entity type
Organization (NPI-2)
Legal business name
Center For Oral And Maxillofacial Surgery
Organization subpart
No
Enumeration date
Mar 14, 2008
Last updated
Jul 31, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery17516OHYes

Practice location

28871 Center Ridge Rd
Suite 104
Westlake, OH 44145-5271

Phone 440-871-2201 · Fax 440-871-2204

Mailing address

28871 Center Ridge Rd
Suite 104
Westlake, OH 44145-5271

Phone 440-871-2201 · Fax 440-871-2204

Authorized official

Thomas P Murphy
President / Owner
4408712201

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