Organization
CHANNEL ISLANDS ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE LANZON MD (OWNER)
(510) 388-3233
Entity
Organization
Contact information
Practice address
4043 MISSION OAKS BLVD, CAMARILLO, CA 93012-5156
(805) 738-3287
Mailing address
4043 MISSION OAKS BLVD, CAMARILLO, CA 93012-5156
(805) 738-3287
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
03/04/2022
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