NPI | 1275500167 |
---|---|
Entity Type | Organization |
Authorized Contact | A TODD SMITH Oral Surgeon 336-765-9550 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 3596) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 4949) |
204E00000X Oral & Maxillofacial Surgery (Licence: NC 5848) | |
Enumeration Date | 2006-03-01 |
Last Update Date | 2010-03-19 |