NPI | 1144583725 |
---|---|
Doing Business As | NASHVILLE ORAL FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | LISA KEOUGH Credentialing Specialist 405-848-7974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 9422) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |