Individual provider · Type 1 NPI

Michael Lee La Puma, DMD

Oral and Maxillofacial Surgery (Dentist) · San Luis Obispo, CA

NPI number 1184735490 Active

Practice location

620 California Bl, Suite G
San Luis Obispo, CA 93401

Fax (805) 541-6872

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XB36569 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1184735490

Michael Lee La Puma, DMD's National Provider Identifier is 1184735490, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.