| NPI | 1518612266 |
|---|---|
| Doing Business As | ALTITUDE ORAL & FACIAL SURGERY PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN J FANGMAN Owner/Oral Surgeon 614-354-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |