NPI | 1790668713 |
---|---|
Doing Business As | MISSION ORAL SURGERY AND IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | JUSTIN OLSEN Owner 435-512-3442 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-07-30 |