| NPI | 1376595413 |
|---|---|
| Doing Business As | MOORESVILLE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN A JOHNSON President/Surgeon 704-799-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 200000474) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |