| NPI | 1902679913 |
|---|---|
| Doing Business As | GEORGIA FACIAL & ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE E VIAL Director Of Credentialing And Pr 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |