NPI | 1912892019 |
---|---|
Doing Business As | ORAL SURGERY SPECIALIST OF AUSTIN |
Entity Type | Organization |
Authorized Contact | DERRICK M FLINT Oral Surgeon/Owner 415-794-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |