| NPI | 1235679515 |
|---|---|
| Doing Business As | MERIDIAN PARK ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MONACO Owner 907-373-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |