| San Diego Center For Oral And Maxillofacial Surgery | |
|
8008 Frost St Suite 311 San Diego CA 92123-4205 | |
| (858) 292-5175 | |
| (858) 292-9946 |
| Full Name | San Diego Center For Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8008 Frost St, San Diego, California |
| Authorized Official Name and Position | Lynn Jane O'keefe (ADMINISTRATOR) |
| Authorized Official Contact | 8582925175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Center For Oral And Maxillofacial Surgery 8008 Frost St Suite 311 San Diego CA 92123-4205 Ph: (858) 292-5175 | San Diego Center For Oral And Maxillofacial Surgery 8008 Frost St Suite 311 San Diego CA 92123-4205 Ph: (858) 292-5175 |
| NPI Number | 1376803254 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376803254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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