| NPI | 1962918094 |
|---|---|
| Doing Business As | ORAL & FACIAL SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SHAWN B DAVIS Owner 435-628-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: UT 6524667) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: AZ D07932) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |