NPI | 1063781086 |
---|---|
Doing Business As | HARBORVIEW ORAL AND FACIAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JASON O ROSETTI Owner/Provider 228-867-0121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 335805) |
Enumeration Date | 2011-12-20 |
Last Update Date | 2011-12-20 |