| NPI | 1053703249 |
|---|---|
| Doing Business As | IMPACT ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRYAN HILLER Manager 501-781-2777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |