| NPI | 1699914572 |
|---|---|
| Doing Business As | CHA ORAL MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DANIEL L. WIENS Sr. VP 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-03-04 |