NPI | 1083721955 |
---|---|
Doing Business As | ORAL FACIAL SURGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SORRELL IZEN STRAUSS President 772-283-6757 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-04-16 |