ALAMITOS ORAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1043634124- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4582 KATELLA AVENUE, LOS ALAMITOS, CA, 90720
- Phone
- (310) 279-0993
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: CA #55453
Dentist, Oral and Maxillofacial Surgery
License: CA #58092
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #56129
All Addresses
MAILING
4582 KATELLA AVENUE
LOS ALAMITOS, CA, 90720