| NPI | 1619664208 |
|---|---|
| Doing Business As | SOUTH SOUND ORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | EYAD EYAD NUSAYR Member 520-481-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 125Q00000X Oral Medicine |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-09-02 |