NPI | 1396292074 |
---|---|
Other Name | LIBERTY ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | BRYAN MCLELLAND Oral Surgeon / Owner 509-939-7684 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-09-09 |