NPI | 1043377856 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKSON MOSES President 949-364-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 21174) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |