| NPI | 1881440105 |
|---|---|
| Doing Business As | OASIS PERIO |
| Entity Type | Organization |
| Authorized Contact | VANESSA LYNN MANCUSO Owner 786-449-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |