| NPI | 1225385867 |
|---|---|
| Doing Business As | PACIFIC COAST OMS |
| Entity Type | Organization |
| Authorized Contact | DIANNE LAFAURIE Office Manager 818-241-4217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |