| NPI | 1497171953 |
|---|---|
| Doing Business As | SAND CANYON ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MAHYAR KARIMI President 949-527-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 57537) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-27 |