NPI | 1558690545 |
---|---|
Doing Business As | PREMIER ORAL AND MAXILLOFACIL SURG |
Entity Type | Organization |
Authorized Contact | AFOLABI OLUFOLAHAN OGUNLEYE Owner 402-708-6222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NE 6642) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2011-02-15 |