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Organization
SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN JANE O'KEEFE (ADMINISTRATOR)
(858) 292-5175
Entity
Organization
Contact information
Practice address
8008 FROST ST, SUITE 311, SAN DIEGO, CA 92123-4205
(858) 292-5175
(858) 292-9946
Mailing address
8008 FROST ST, SUITE 311, SAN DIEGO, CA 92123-4205
(858) 292-5175
(858) 292-9946
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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