NPI | 1871083709 |
---|---|
Doing Business As | SUNCOAST ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | DOROTHEA BERRY Omfs 562-240-3054 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52968) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2018-05-16 |