NPI | 1952954281 |
---|---|
Doing Business As | FARRAGUT ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | JOSHUA CAMPBELL Owner 865-409-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2019-07-16 |
Last Update Date | 2019-07-16 |