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 |