| NPI | 1306530951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ZEIDAN President 858-452-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-04-18 |