| Advanced Oral Surgery, Pllc | |
|
3265 S 24th St Council Bluffs IA 51501-6901 | |
| (402) 934-8999 | |
| Not Available |
| Full Name | Advanced Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3265 S 24th St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Brittney Wiemer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4029348999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Oral Surgery, Pllc 5040 S 153rd St Omaha NE 68137-5067 Ph: (402) 934-8999 | Advanced Oral Surgery, Pllc 3265 S 24th St Council Bluffs IA 51501-6901 Ph: (402) 934-8999 |
| NPI Number | 1154970655 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154970655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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