| NPI | 1831941095 |
|---|---|
| Doing Business As | IN-HOUSE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | WHITNEY PAVICK Director Of Operations 802-857-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |