NPI | 1912780560 |
---|---|
Doing Business As | LAWTON ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | WHITNEY PAVICK Sr. Operations Manager 801-857-7947 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |