Organization
LA CENTER FOR ORAL & MAXIOLLOFACIAL SURGERY A CA GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KUPFERMAN M.D. (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 610, LOS ANGELES, CA 90067-2009
(310) 914-9150
(310) 914-9705
Mailing address
2080 CENTURY PARK E STE 610, LOS ANGELES, CA 90067-2009
(310) 914-9150
(310) 914-9705
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
A97977
CA
208600000X
Surgery Physician
Primary
A97977
CA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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