NPI | 1659436012 |
---|---|
Doing Business As | RANCHO DEL REY ORAL AND FACIAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | RICHARD S. MOWRY Oral And Maxillofacial Surgeon 619-421-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 31501) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-07-13 |