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General NPI Number Information
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NPI Number | 1851260194
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Entity Type | Organization
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Legal Business Name | ARROW ORAL SURGERY, S.C.
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1539 W MARKET ST
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City | MEQUON
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State | WI
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Zip | 53092-5053
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Country | US
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Telephone | 262-404-7062
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Fax | 262-404-7062
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Provider Business Mailing Address
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Address Line | 1539 W MARKET ST
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City | MEQUON
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State | WI
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Zip | 53092-5053
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Country | US
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Telephone | 262-404-7062
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Fax | 262-404-7062
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DYLAN STARCK
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Credential | DMD, MD
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Telephone | 262-404-7062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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