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
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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