NPI | 1932248085 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY LEE Owner Surgeon 714-734-9363 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA G73560) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 00008) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2013-08-22 |