| NPI | 1114498946 |
|---|---|
| Doing Business As | ORAL FACIAL SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W NOBLE Owner 314-251-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |