Organization · Type 2 NPI

Maxillofacial Surgical Arts

Specialist · Northridge, CA

NPI number 1174702187 Active

Practice location

9066 Tampa Ave
Northridge, CA 91324-3523

Call (818) 993-5700 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X034203 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174702187

Maxillofacial Surgical Arts's National Provider Identifier is 1174702187, issued on Oct 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Northridge, CA. The record was last updated on Oct 25, 2007.