NPI | 1033796362 |
---|---|
Doing Business As | FUSION IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTI WYATT Insurance Manager 225-766-5413 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2021-03-24 |
Last Update Date | 2021-03-29 |