NPI | 1326697327 |
---|---|
Doing Business As | MOUNTAIN VIEW ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ERIC HENDERSON Owner 909-481-6867 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2019-09-11 |
Last Update Date | 2019-09-11 |