NPI | 1154970655 |
---|---|
Doing Business As | COUNCIL BLUFFS ORAL SURGERY, PLLC |
Entity Type | Organization |
Authorized Contact | BRITTNEY WIEMER Practice Administrator 402-934-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-06 |