| NPI | 1467584854 |
|---|---|
| Doing Business As | SOUTHWEST ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GREGG WILLIAM HOSCH President 314-822-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 14054) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-11-07 |