NPI | 1497980874 |
---|---|
Entity Type | Organization |
Authorized Contact | LEON ROBERT PECK Owner 310-657-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2009-05-28 |
Last Update Date | 2009-06-10 |