| NPI | 1427660703 |
|---|---|
| Doing Business As | RED HILLS ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL WALTHER Owner 352-284-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |