| NPI | 1912281098 |
|---|---|
| Doing Business As | GOLDEN FOOTHILLS ORAL AND FACIAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD ROBERT LIBERTY President 916-941-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 53466) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |