| NPI | 1760912745 |
|---|---|
| Doing Business As | LAS VEGAS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE SHERMAN Clinical Director 631-806-1275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-02-04 |