NPI | 1700970407 |
---|---|
Doing Business As | CENTER FOR ORAL FACIAL AND IMPLANT SURGERY |
Entity Type | Organization |
Authorized Contact | WAYNE E TIPPS President/Partner 423-893-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TN 1224) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-04-04 |