NPI | 1255074381 |
---|---|
Doing Business As | FOOTHILL CENTER FOR DENTAL IMPLANTS AND ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER CHAN President 310-886-9863 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-04-17 |
Last Update Date | 2022-04-17 |