| NPI | 1114416112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT TAGONI Oral & Maxillofacial Surgeon 805-252-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |