| NPI | 1790866564 |
|---|---|
| Doing Business As | ORAL MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GEORGE H. BLAKEY Chairman 919-537-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-03-04 |