Organization
SCV ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE MOWER DDS (GENERAL MANAGER)
(661) 255-1515
Entity
Organization
Contact information
Practice address
26357 MCBEAN PKWY STE 255, VALENCIA, CA 91355-5504
(661) 255-1515
(661) 255-1661
Mailing address
26357 MCBEAN PKWY STE 255, VALENCIA, CA 91355-5504
(661) 255-1515
(661) 255-1661
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
45296
CA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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