NPI | 1447425392 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJU YEDDULA REDDY President 650-387-6517 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA OMS46) |
Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA A80394) |
261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA GA 1293) | |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |