| NPI | 1073702288 |
|---|---|
| Doing Business As | MMC ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-05-11 |