| NPI | 1942703657 |
|---|---|
| Doing Business As | SONOMA ORAL AND FACIAL SURGERY OF YUMA |
| Entity Type | Organization |
| Authorized Contact | PETER A SPANGANBERG Owner 480-279-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-04-17 |