NPI | 1619664208 |
---|---|
Doing Business As | SOUTH SOUND ORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | EYAD NUSAYR Member 520-481-4368 |
Organization Subpart ? | No |
Primary Taxonomy | 125Q00000X Oral Medicinist |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-07-21 |