| NPI | 1467661819 |
|---|---|
| Doing Business As | ORAL & MAXILLOFACIAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARK S GRESKOVICH President 850-477-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL 5532C) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-24 |