| NPI | 1093437121 |
|---|---|
| Doing Business As | KRUPP CENTER, MAXILLOFACIAL, ORAL & COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | OLUWOLE OLUBUNMI FADAHUNSI Owner 267-499-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |