| NPI | 1912599432 |
|---|---|
| Doing Business As | TEMECULA ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DAVID PHAN Owner 951-501-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |