NPI | 1033250311 |
---|---|
Doing Business As | CENTRAL COAST ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | RONALD B. MEAD Oral Surgeon 805-541-3220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA D46732) |
Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA DB023450) |
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA DX030128) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |