Fishers Oral & Maxillofacial Surgery Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · Fishers, IN

NPI

1174534515

Type

Organization (Type 2)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

12007758 (IN)

Enumerated

2006-08-10

Last updated

2012-10-29