NPI | 1073784872 |
---|---|
Doing Business As | BAY CENTER FOR ORAL & IMPLANT SURGERY |
Entity Type | Organization |
Authorized Contact | JESSE JAKUBOWSKI Owner 727-585-5494 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 11822) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2022-07-29 |