NPI | 1508223827 |
---|---|
Doing Business As | HALF MOON ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | THOMAS ARTHUR SARNA Oral And Maxillofacial Surgeon 479-202-8666 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: AR 85) |
Enumeration Date | 2016-01-16 |
Last Update Date | 2016-01-16 |