NPI | 1891342267 |
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Doing Business As | ORAL MAXILLOFACIAL SURGERY OF SOUTHERN CALIFORNIA |
Entity Type | Organization |
Authorized Contact | ALI AMROLLAHIE General Partner 949-510-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-08-21 |
Last Update Date | 2022-07-19 |