| NPI | 1477090744 |
|---|---|
| Doing Business As | FULLERTON ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MIYAMOTO Owner 714-525-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 42368) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |