NPI | 1164886321 |
---|---|
Doing Business As | PREMIERE SURGICAL ARTS |
Entity Type | Organization |
Authorized Contact | CALVIN G JUNG Owner / Surgeon 832-930-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 30749) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |