NPI | 1518158989 |
---|---|
Former Legal Business Name | MONTERUBIO AND HERBOSA ORAL AND MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | JOHN R MONTERUBIO President 314-721-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-08-09 |
Last Update Date | 2020-02-12 |