NPI | 1881797983 |
---|---|
Doing Business As | IONIA ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | JEFFREY E PERSICO Owner 517-349-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-09-06 |
Last Update Date | 2015-05-05 |