| NPI | 1457484222 |
|---|---|
| Doing Business As | MIDWEST ORAL AND MAXILLO FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH PARSONS Owner President 636-536-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-11-02 |