NPI | 1851825533 |
---|---|
Doing Business As | MOHORN ORAL SURGERY & IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | NANCY BASHAM PIERCEY Office Administrator 336-663-8586 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |