| NPI | 1205479391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARAMARIE K YOUNG Practice Administrator 661-253-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |