NPI | 1417945601 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY S KOH Oral Maxillofacial Surgeon Presiden 661-327-2051 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DY32572) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-08-22 |