| NPI | 1861217358 |
|---|---|
| Doing Business As | ORAL SURGERY AND WISDOM TEETH OF LOUISIANA |
| Entity Type | Organization |
| Authorized Contact | DAVID ASHLEY Principal 205-870-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-01-03 |