| NPI | 1861618811 |
|---|---|
| Doing Business As | ORAL & MAXILLO-FACIAL SURGERY AT THE CROSSING |
| Entity Type | Organization |
| Authorized Contact | DAVID M IVEY President 636-887-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |