NPI | 1548369069 |
---|---|
Doing Business As | MISSION ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | PHUONG C HUYNH CEO 951-354-6667 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 49336) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |