| NPI | 1699639013 |
|---|---|
| Doing Business As | PENINSULA ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ADAM PETER FAGIN Partner 650-823-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |