| NPI | 1073855193 |
|---|---|
| Former Legal Business Name | BUCKEYE ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JACK B MCEWAN Owner 614-794-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OH 30022456) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |