| NPI | 1003764572 |
|---|---|
| Doing Business As | MISSION ORAL SURGERY |
| Doing Business As | CHANNEL ISLAND ORAL AND MAXILLOFACIAL SURGERY |
| Doing Business As | LOMPOC ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JESSE LANZON Partner 510-388-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |