NPI | 1770091720 |
---|---|
Doing Business As | ROBINSON AND FANGMAN COSMETIC SURGERY |
Entity Type | Organization |
Authorized Contact | BRAIN J FANGMAN President CEO 614-354-7468 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CO 0202239) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2022-04-11 |