| NPI | 1245047968 |
|---|---|
| Doing Business As | SUNRISE ORAL SURGERY & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD EDWARD PRENZEL Oral And Maxillofacial Surgeon 915-487-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-01-27 |