| NPI | 1306041363 |
|---|---|
| Doing Business As | USADC ORAL SURGERY-SAMMC |
| Entity Type | Organization |
| Authorized Contact | CLENTON BALLARD C, Ubo 210-916-8561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-02-08 |