| NPI | 1972246056 |
|---|---|
| Doing Business As | TRAVIS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | AHMAD MILLWALA Owner 773-732-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-05-18 |