| NPI | 1487623104 |
|---|---|
| Doing Business As | ORAL & FACIAL SURGERY GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT TATE Owner 936-569-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-08-20 |