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 |