University Oral & Maxillo Facial Surgeons
NPI #1487875258 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1487875258
- Entity Type
- Organization
- Organization Name
- University Oral & Maxillo Facial Surgeons
- Primary Specialty
- Specialist
- Enumeration Date
- May 1, 2007
- Last Updated
- Aug 29, 2008
Practice Location
- Address
- 1201 N STONEWALL AVE
- Address 2
- RM 418A
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73117-1214
- Phone
- (405) 271-5744
Authorized Official
- Name
- PAUL MULLASSERIL, D.D.S. M.S.
- Title
- DIRECTOR OF MAXILLOFACIAL PROS
- Phone
- (405) 271-5744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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