| NPI | 1770235392 |
|---|---|
| Doing Business As | CLEVELAND ORAL & MAXIOLLFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRENT DELONG Doctor/Owner 704-865-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |