| NPI | 1194057174 |
|---|---|
| Doing Business As | BERKELEY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CRAIG YALE BLOOM President 510-848-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 31571) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |