| NPI | 1629616792 |
|---|---|
| Other Name | CS CRANIOFACIAL |
| Entity Type | Organization |
| Authorized Contact | KERRI RUPPERT SCHILLER Executive Vice President & CFO 714-509-8451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 208000000X Pediatrics |
| 122300000X Dentist | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-11-30 |