| NPI | 1992405450 |
|---|---|
| Doing Business As | OAK CITY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | AMY BROOKS Credentialing Manager 252-292-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-12-01 |