| NPI | 1427270776 |
|---|---|
| Former Legal Business Name | BAY ORAL & MAXILLOFACIAL SURGERY, LTD |
| Entity Type | Organization |
| Authorized Contact | ELLEN M GREENE Practice Adminstrat 920-499-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-12-16 |