Organization
SAN DIEGO MAXILLOFACIAL SURGERY, EVANS-HAMMER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EVANS (OWNER/AUTHORIZED OFFICIAL)
(858) 335-8892
Entity
Organization
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(805) 455-6057
Mailing address
PO BOX 27028, SAN DIEGO, CA 92198-1028
(805) 455-6057
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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