| 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 |