| NPI | 1023317153 |
|---|---|
| Other Name | UTSW ORAL SURGERY DME |
| Entity Type | Organization |
| Authorized Contact | BRUCE FAIRBANKS Vice President 214-645-0624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-06-24 |