Organization
VISION SURGICAL ARTS, LLC
Active
Other names
Oral Facial Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LACY WILSON (BUSINESS MANAGER)
(314) 251-6725
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
(314) 251-6725
Mailing address
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141-8239
(314) 251-6725
(314) 251-6726
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
03/04/2024
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