| NPI | 1659753762 |
|---|---|
| Doing Business As | TORREY PINES ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TARKAN SIDAL President 312-505-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A122601) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS 101) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-26 |