| NPI | 1619424611 |
|---|---|
| Other Name | LIBERTY ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRYAN MCLELLAND Owner / Oral Surgeon 509-939-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |