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The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI # | 1497142137 |
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| LBN Legal business name | KNOB CREEK ORAL CLINIC | ||||
| Authorized official | SANDFORD PRINCE - (ORAL SURGEON) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/21/2015 | ||||
| Last updated | 04/21/2015 - About 11 years ago | ||||
| Identifiers |
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KNOB CREEK ORAL CLINIC