| NPI | 1952672511 |
|---|---|
| Doing Business As | WEST COAST CENTER FOR JAW SURGERY |
| Entity Type | Organization |
| Authorized Contact | TERESA L. COLBURN BIRD Practice Manager 813-926-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-05-04 |