NPI | 1861913022 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER RAYLE HOCK Director Of Billing 704-295-4653 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-08-12 |