| NPI | 1891264024 |
|---|---|
| Doing Business As | PINEY WOODS ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRETT SHIRLEY Owner 936-305-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |