NPI | 1508263740 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER HEARNE Owner 760-459-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A113328) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |