BLOOMINGTON ORAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1891350575- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1116 S COLLEGE MALL RD, BLOOMINGTON, IN, 474016178
- Phone
- (812) 332-2204
- Fax
- (812) 332-9095
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary