NPI | 1962699777 |
---|---|
Doing Business As | CENTRAL CALIFORNIA ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | KRISTIE LEA MILLER Office Manager 559-431-4220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-09-26 |
Last Update Date | 2018-08-15 |