NPI | 1679384929 |
---|---|
Doing Business As | TERRE HAUTE ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | JAN SLAPNICKA Oral Surgeon 310-689-6148 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |