| NPI | 1356508758 |
|---|---|
| Doing Business As | ORAL FACIAL SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWARD GRAHAM Administrator 314-251-6725 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |