NPI | 1861772790 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEL KHALIL President 510-548-9114 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 59216) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2019-01-25 |