| NPI | 1205906526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S MOSSOP Oral Surgeon 510-582-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 33343) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-02-23 |