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The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
261QS0112X | |||
Dentist |
122300000X |
| NPI Number | 1083850374 |
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| LBN Legal business name | JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD | ||||
| Authorized official | JEDIDIAH JANISSE - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/17/2008 | ||||
| Last updated | 10/11/2019 - About 7 years ago | ||||
| Identifiers |
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JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD