| NPI | 1508375965 |
|---|---|
| Doing Business As | EXPEDITION ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MAU K PHAM Owner 817-945-2971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 25803) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |