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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 | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI Number | 1881887065 |
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| LBN Legal business name | EDISON LAKES ORAL SURGERY, P.C. | ||||
| Authorized official | EDWARD COLLINS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/22/2007 | ||||
| Last updated | 05/06/2024 - About 2 years ago | ||||
| Identifiers |
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EDISON LAKES ORAL SURGERY, P.C.