| 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 |