NPI | 1174704712 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY L BAKER President 402-463-3088 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NE 22775) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-11-26 |