| NPI | 1447429402 |
|---|---|
| Doing Business As | ORAL SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARY CARL ANDERSON Dean, Uof Mn School Of Dentistry 612-626-6529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-12-21 |