| NPI | 1518723857 |
|---|---|
| Doing Business As | MAXILLO-FACIAL SURGERY INSTITUTE, IRVINE |
| Entity Type | Organization |
| Authorized Contact | ANDREI MARECHEK Partner 858-361-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |