| NPI | 1114190220 |
|---|---|
| Other Name | UNIVERSITY ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALLEN SCLAROFF Owner 314-453-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 012170) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-23 |