| NPI | 1174530026 |
|---|---|
| Doing Business As | MAXILLOFACIAL SURGERY CENTER OF SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | CHIEN YVAN CHENG Owner/Partner 408-298-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 45438) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA FNP2936) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 23580) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52603) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-04-04 |