| NPI | 1962766444 |
|---|---|
| Other Name | ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DENISE A FLANAGAN Owner 317-876-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12009664A) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |