| NPI | 1174739700 |
|---|---|
| Doing Business As | CARMEL MOUNTAIN ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KIERIAN BRIAN KUKLOK Owner 858-484-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS29) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A68737) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |