| NPI | 1427835792 |
|---|---|
| Doing Business As | BLOOMFIELD ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GARY FORGACH Owner 248-877-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-03-12 |