| NPI | 1124660014 |
|---|---|
| Doing Business As | SYCAMORE ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHAN M PARK Partner 925-217-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |