Organization
FOOTHILL ORAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI BIRKENBACH (OFFICE MANAGER)
(949) 470-3672
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY, SUITE 130, MISSION VIEJO, CA 92691-6704
(949) 470-3672
(949) 472-2095
Mailing address
27725 SANTA MARGARITA PKWY, SUITE 130, MISSION VIEJO, CA 92691-6704
(949) 470-3672
(949) 472-2095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41907
CA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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