| NPI | 1861250235 |
|---|---|
| Doing Business As | TRUFORM SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRITTANY KY EIDSON Owning Surgeon 810-522-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |