| NPI | 1649689597 |
|---|---|
| Doing Business As | BLUE OAK ORAL SURGERY & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSE MICHAEL FA Owner 925-757-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55360) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2020-04-08 |