| NPI | 1881033926 |
|---|---|
| Doing Business As | ORAL SURGERY OF SPRINGFIELD |
| Entity Type | Organization |
| Authorized Contact | FRANK A CORNELLA Owner 417-881-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |