PREMIER ORAL & MAXILLOFACIAL SURGERY S.C.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1992806269- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1602 N RANDALL AVE, JANESVILLE, WI, 535451124
- Phone
- (608) 756-8744
- Fax
- (608) 756-5344
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: WI #5E10250