NPI | 1477925873 |
---|---|
Doing Business As | ANGELO ORAL AND MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | RYAN MONTGOMERY Oral And Maxillofacial Surgeon 325-944-3565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX 29483) |
Enumeration Date | 2015-10-24 |
Last Update Date | 2015-10-24 |