NPI | 1104530161 |
---|---|
Doing Business As | ALPINE ORAL FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | BRANDYN HERMAN Owner 775-737-1639 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-05-03 |