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Organization
MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Organization
MISSION VALLEY ORAL & MAXILLOFACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK WHITE HAMMOND DDS (PARTNER)
(619) 298-2200
Entity
Organization
Contact information
Practice address
2878 CAMINO DEL RIO S, SUITE 210, SAN DIEGO, CA 92108-3872
(619) 298-2200
(619) 298-2250
Mailing address
2878 CAMINO DEL RIO S, SUITE 210, SAN DIEGO, CA 92108-3872
(619) 298-2200
(619) 298-2250
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31922
CA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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