Organization
MCGANN FACIAL DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA WOLCOFF (OFFICE MANAGER)
(858) 874-8181
Entity
Organization
Contact information
Practice address
7910 FROST ST #310, SAN DIEGO, CA 92123
(858) 874-8181
(858) 429-7010
Mailing address
7910 FROST ST #310, SAN DIEGO, CA 92123
(858) 874-8181
(858) 429-7010
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
52892
CA
Other
Enumeration date
03/31/2008
Last updated
06/11/2013
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