| 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 |