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NPI 1114001997

OrganizationActive

Affiliated Oral Surgeons

NPI 1114001997 · Oral and Maxillofacial Surgery (Dentist) · Lima, OH

Provider details

NPI number: 1114001997
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Bryan Luna, Owner
License: 30020543 (OH)

Practice location

505 N Cable Rd

Lima, OH 45805-2132

Phone: (419) 331-0000

More OH providers

Mailing address

505 N Cable Rd

Lima, OH 45805-2132

Registry dates

Enumerated: 2006-10-25
Last updated: 2008-04-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Affiliated Oral Surgeons — NPI 1114001997, Lima, OH | NPI Central