NPI | 1841430345 |
---|---|
Entity Type | Organization |
Authorized Contact | BAO-THY N GRANT Officer 310-408-8221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 52655) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-02-24 |