| Cadillac Oral Surgery Assoc | |
|
855 S Carmel St Cadillac MI 49601-2344 | |
| (231) 775-1268 | |
| (231) 775-1190 |
| Full Name | Cadillac Oral Surgery Assoc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 855 S Carmel St, Cadillac, Michigan |
| Authorized Official Name and Position | Sheila S. Vanderhoof (OFFICE MANAGER) |
| Authorized Official Contact | 2317751268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadillac Oral Surgery Assoc 855 S Carmel St Cadillac MI 49601-2383 Ph: (231) 775-1268 | Cadillac Oral Surgery Assoc 855 S Carmel St Cadillac MI 49601-2344 Ph: (231) 775-1268 |
| NPI Number | 1588618912 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588618912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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