| NPI | 1750038089 |
|---|---|
| Doing Business As | ALTITUDE ORAL & FACIAL SURGERY PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN J FANGMAN Dds 614-354-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-04-11 |