NPI | 1699133801 |
---|---|
Doing Business As | EL PASO ORAL MAXILLOFACIAL AND IMPLANT SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT B GULLEY Owner/Oral Surgeon 361-992-3873 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |