| NPI | 1205664844 |
|---|---|
| Doing Business As | SUMMIT ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | PRASHANT CHARUGUNDLA Oral & Maxillofacial Surgeon 503-548-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |