| NPI | 1376298695 |
|---|---|
| Other Name | SOUTH LOUISVILLE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN SWOPE Owner 402-968-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |