NPI | 1962038711 |
---|---|
Doing Business As | STANLEY ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | ADAM C STANLEY Owner/Oral Surgeon 385-274-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |