NPI | 1558174680 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HOUSTON ASHLEY President And Secretary 501-208-1593 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2025-01-31 |
Last Update Date | 2025-01-31 |