| NPI | 1922288539 |
|---|---|
| Doing Business As | PERMIAN BASIN ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KEVIN ERIC PORTER President 432-333-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2016-07-12 |