LAFAYETTE ORAL AND MAXILLOFACIAL SURGERY GROUP, P.C.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1972685238- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2 EXECUTIVE DR SUITE A, LAFAYETTE, IN, 479054859
- Phone
- (765) 807-0230
- Fax
- (765) 807-0234
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: IN #1201055A