| NPI | 1881588374 |
|---|---|
| Doing Business As | LA ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DEREK TOW CEO/President 408-891-2103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-08-02 |