NPI | 1629267075 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J. SAAL Owner 985-879-1972 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA OC-07906) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2022-10-12 |