| NPI | 1538279757 |
|---|---|
| Doing Business As | GASTON ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | PHILIP LEDFORD JAMISON Direct Owner 704-865-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-02-13 |