NPI | 1811008378 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY L. TORTORICH Oral And Maxillofacial Surgeon 501-224-8332 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 2721) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |