NPI | 1093087488 |
---|---|
Doing Business As | WOODBRIDGE ORAL & MAXILLOFACIAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PHUONG NGOC NGUYEN President 714-235-1324 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2012-02-01 |
Last Update Date | 2012-02-01 |