| NPI | 1992375026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HOGHOOGHI Provider 650-617-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |