NPI | 1053584425 |
---|---|
Doing Business As | AMARILLO ORAL & MAXILLOFACIAL SURGERY, LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM EDWARD GRAVES Owner/Doctor 806-353-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 23648) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2016-03-03 |