| 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 |