| NPI | 1538535331 |
|---|---|
| Doing Business As | ATHENS ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ADAM MEDEL Owner 586-291-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 24965) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |