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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 |
| NPI # | 1316535339 |
| LBN Legal business name | BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, PC |
| Authorized official | JULIE ANN SMITH - (ORAL AND MAXILLOFACIAL SURGEON) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/05/2021 |
| Last updated | 01/18/2021 - About 5 years ago |
| Identifiers | n/a |
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BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, PC