| NPI | 1760576813 |
|---|---|
| Doing Business As | ORAL MAXILLOFACIAL & FACIAL PLASTIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | GREGORY J SMITH Controller 402-390-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-13 |