NPI | 1972347003 |
---|---|
Doing Business As | SERGEI KUZNETSOV ORAL SURGERY SERVICES PC |
Entity Type | Organization |
Authorized Contact | SERGEI KUZNETSOV President 480-286-2366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-06-24 |