| NPI | 1003250523 |
|---|---|
| Doing Business As | CORDOVA ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SCOTT WEISKOPF Oral And Maxillofacial Surgeon 314-640-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TN 9560) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |