| NPI | 1588246946 |
|---|---|
| Doing Business As | ORAL SURGERY ASSOCIATES OF PUEBLO |
| Entity Type | Organization |
| Authorized Contact | MIKE COLE VP Insurance Plan Management 727-424-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |