| NPI | 1265617518 |
|---|---|
| Doing Business As | THE ORAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN L DRAB Oral & Maxillofacial Surgeon 336-282-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-10-13 |