| NPI | 1558568311 |
|---|---|
| Doing Business As | SOUTH COAST ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLAN ELO Oral & Maxillofacial Surgeon 714-556-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53209) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-08-30 |