NPI | 1699116111 |
---|---|
Doing Business As | TRIAD ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | HARRIET H ENGLISH Office Manager 336-307-3107 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 7546) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2023-10-23 |