| Community Oral And Maxillofacial Surgery, Llc | |
|
408 W Florida St Ste 105 Milwaukee WI 53204-1509 | |
| (401) 401-4141 | |
| Not Available |
| Full Name | Community Oral And Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 408 W Florida St Ste 105, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ruba Khader (OWNER) |
| Authorized Official Contact | 4148101707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Oral And Maxillofacial Surgery, Llc 408 W Florida St Ste 105 Milwaukee WI 53204-1509 Ph: (414) 810-1707 | Community Oral And Maxillofacial Surgery, Llc 408 W Florida St Ste 105 Milwaukee WI 53204-1509 Ph: (401) 401-4141 |
| NPI Number | 1962178970 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962178970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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