| NPI | 1003016494 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA CENTER FOR ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JAY B REZNICK Owner 818-996-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA A055148) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA A055148) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-12-11 |