NPI | 1245388032 |
---|---|
Entity Type | Organization |
Authorized Contact | APPANAGARI GNANADEV President 909-580-6210 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 51201) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |