NPI | 1083600365 |
---|---|
Doing Business As | SAN BENITO ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | RODERICK LEE MCBRIDE President 831-636-9808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2005-09-22 |
Last Update Date | 2022-07-21 |