| NPI | 1972504389 |
|---|---|
| Doing Business As | ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DONNA L FULLER Office Manager 423-224-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-03-01 |