| NPI | 1821652736 |
|---|---|
| Doing Business As | OMHNA |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED QAISI Member 318-547-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |