| NPI | 1245432798 |
|---|---|
| Doing Business As | CENTER FOR ORAL & MALLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT JENKINS Partner 859-261-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-08-24 |