| NPI | 1932904141 |
|---|---|
| Doing Business As | JAMES S WIDNER DDS |
| Doing Business As | WIDNER ELITE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOYCE STAPLES Billing Specialist 512-452-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |