NPI | 1780378174 |
---|---|
Doing Business As | SUMMIT ORAL SURGERY & IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | CHARLOTTE E VIAL Director Of Provider 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-06-07 |
Last Update Date | 2023-11-01 |