| NPI | 1801917190 |
|---|---|
| Former Legal Business Name | PIEDMONT ORAL FACIAL SURG C |
| Entity Type | Organization |
| Authorized Contact | TERESA BROOKSHIRE Group Administrator 336-273-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-04-07 |