| NPI | 1801107776 |
|---|---|
| Doing Business As | HUNTINGTON BEACH ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JACKIE N SMITH Office Manager 714-766-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 32586) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 59337) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |