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1174702187
MAXILLOFACIAL SURGICAL ARTS
NORTHRIDGE, CA
NPI
1174702187
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Entity Type
Organization
Authorized Contact
ROBERT RELLE
Partner
818-993-5700
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA 034203)
Enumeration Date
2007-10-25
Last Update Date
2007-10-25
Business Address
MAXILLOFACIAL SURGICAL ARTS
9066 TAMPA AVE
NORTHRIDGE, CA 91324-3523
Phone number: 818-993-5700
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Mailing Address
MAXILLOFACIAL SURGICAL ARTS
9066 TAMPA AVE
NORTHRIDGE, CA 91324-3523
Phone number: 818-993-5700
Copy
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