| NPI | 1376832782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A. DELSOL Partner/Oral Surgeon 949-240-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |