MIDWEST ORAL AND MAXILLOFACIAL SURGERY P C is an oral and maxillofacial surgery dentist in Columbia City, IN. The provider is an oral and maxillofacial surgery dentist specialized in 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. MIDWEST ORAL AND MAXILLOFACIAL SURGERY P C NPI is 1467507798. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
516 N LINE ST
COLUMBIA CITY, IN
ZIP 46725-230
Phone: (260) 244-4007
The provider's authorized official is Michael L Iczkovitz .
The authorized official title is President and has the following contact phone number (260) 484-9990.
The enumeration date for this NPI number is 1/25/2007 and was last updated on 3/26/2009.