| NPI | 1891359394 |
|---|---|
| Doing Business As | BIXBY KNOLLS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLAN SMITH Owner 631-241-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |