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 |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1063880896 |
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| LBN Legal business name | UTAH ORAL & FACIAL SURGEONS | ||||||||||||
| Authorized official | ALVIN STOSICH - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/10/2015 | ||||||||||||
| Last updated | 09/10/2015 - About 11 years ago | ||||||||||||
| Identifiers |
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UTAH ORAL & FACIAL SURGEONS
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