| NPI | 1033939533 |
|---|---|
| Doing Business As | GREEN STREET ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRIAN GOO President 626-460-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |