| NPI | 1457505604 |
|---|---|
| Doing Business As | ORAL FACIAL SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SCOTT E GRAHAM Office Manager 314-251-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 010781) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 011430) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2010-05-28 |