Organization
MARSHALL S HUMES DDS & ANTHONY PITROWSKI MD, DMD, INC.
Active
Other names
Coastal Maxillofacial Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PITROWSKI MD DMD (VICE PRESIDENT)
(805) 928-7611
Entity
Organization
Contact information
Practice address
201 N COLLEGE DR, SUITE 202, SANTA MARIA, CA 93454-4614
(805) 928-7611
(805) 349-8551
Mailing address
201 N COLLEGE DR, SUITE 202, SANTA MARIA, CA 93454-4614
(805) 928-7611
(805) 349-8551
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
OM516
CA
Other
Enumeration date
01/22/2007
Last updated
07/17/2007
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