| NPI | 1154196020 |
|---|---|
| Doing Business As | WAVERLY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFF COHEN COO 704-246-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |