| NPI | 1841208360 |
|---|---|
| Doing Business As | DESERT ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROBERT LARRY BASS Vice President 760-346-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 36335) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |