| NPI | 1114621687 |
|---|---|
| Doing Business As | WISE OMFS |
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Revenue Cycle Manager 205-919-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |