| NPI | 1356423891 |
|---|---|
| Doing Business As | CENTER FOR ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DIANA MANDEL-TATCH Office Manager 972-898-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021002076) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-08-14 |