NPI | 1043078793 |
---|---|
Doing Business As | PREMIER INSTITUTE OF ORAL AND FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | ALEXANDER HEATRICE Owner 314-627-1953 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |