Midwest Oral and Maxillofacial Surgery P C
Midwest Oral and Maxillofacial Surgery P C is an Oral and Maxillofacial Surgery (Dentist) in Columbia City, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
516 N Line StColumbia City, IN 46725-1230
Phone: (260) 244-4007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 54000677 (IN) |
|---|
Record details
| NPI number | 1467507798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Iczkovitz — President · (260) 484-9990 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | March 26, 2009 |
| Mailing address | 3303 Trier Rd, Fort Wayne, IN 46815-4768 |