NPI | 1649528027 |
---|---|
Doing Business As | BERKELEY-ORINDA ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | BRYAN R. KREY Vice President 510-848-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 44912) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |