NPI | 1497054613 |
---|---|
Former Legal Business Name | ORAL SUGERY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | TANDY L PARISH Office Manager 318-687-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2011-03-28 |
Last Update Date | 2024-07-01 |