| NPI | 1780437749 |
|---|---|
| Doing Business As | ST PETE ORAL SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW F LALLI Owner 727-592-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |