| NPI | 1316119290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA WOLCOFF Office Manager 858-874-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 52892) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2013-06-11 |