NPI | 1275671109 |
---|---|
Doing Business As | ORAL FACIAL SURGERY INSTITUTE |
Entity Type | Organization |
Authorized Contact | MICHAEL V. SARLI Administrator 314-251-6725 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MO 2005012885) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-08-01 |