| NPI | 1497003685 |
|---|---|
| Doing Business As | PACIFIC COAST OMS |
| Entity Type | Organization |
| Authorized Contact | DIANNE LAFAURIE Office Manager 818-241-4217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS94) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 21413) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS71) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 37945) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |