| NPI | 1598013781 |
|---|---|
| Doing Business As | ADVANCED ORAL & FACIAL SURGERY OF THE TRIAD |
| Entity Type | Organization |
| Authorized Contact | RONDA A WINTERS Office Manager 336-992-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 2007-00937) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |