| NPI | 1043921851 |
|---|---|
| Doing Business As | MID-STATE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | HEATHER HIGHTOWER Director 615-441-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |