NPI | 1518165810 |
---|---|
Doing Business As | SOUTH COUNTY ORAL AND MAXILLOFACIAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | NOJAN TALEBZADEH Owner 619-420-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 42098) |
Enumeration Date | 2007-07-07 |
Last Update Date | 2016-04-15 |