| NPI | 1356834675 |
|---|---|
| Doing Business As | ANTELOPE VALLEY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GENNADY LANDA President 818-970-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |