| NPI | 1619211885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ROBERT URFRIG Partner 661-945-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 54374) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |