NPI | 1598021032 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDE-JEAN LANGEVIN President 714-444-4011 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A118760) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A118760) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 61000) | |
204E00000X Oral & Maxillofacial Surgery (Licence: CA A118760) | |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-05-03 |