| NPI | 1174797708 |
|---|---|
| Doing Business As | THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREDERICK STEPHENS Owner/President 626-440-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 34775) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-02-13 |