NPI | 1447623525 |
---|---|
Doing Business As | WEST VALLEY ORAL SURGERY GROUP |
Entity Type | Organization |
Authorized Contact | NATALIE KOLKOVICH Office Manager 818-788-4424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 58921) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2015-11-11 |