NPI | 1740683143 |
---|---|
Doing Business As | ORAL SURGERY INSTITUTE - COOL SPRINGS |
Entity Type | Organization |
Authorized Contact | TRACY MILLER Cred Supervisor 615-329-4401 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-09-30 |
Last Update Date | 2022-01-11 |