| NPI | 1699989434 |
|---|---|
| Former Legal Business Name | SOUTHERN INDIANA ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DON FORSEE Dr/Oral & Maxillofacial Surgeon 812-282-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 12007773) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-01-04 |