| NPI | 1619964715 |
|---|---|
| Other Name | MT. PLEASANT ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHIANNE BOWERS Financial Dept 989-839-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-02-17 |