NPI | 1356693568 |
---|---|
Doing Business As | WEST PORTAL ORAL AND FACIAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | ERIC M SCHARF Oral Surgeon 415-661-6006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 51135) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2020-09-22 |