| NPI | 1922480250 |
|---|---|
| Doing Business As | COMMONWEALTH ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ACORD Owner, President 502-423-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: KY 8588) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: KY 8588) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |