NPI | 1760910046 |
---|---|
Doing Business As | SOUTHERN OCEAN ORAL SURGERY & IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | ANTHONY NAVILIO Owner 609-978-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ DI17809) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2018-06-16 |