Organization · Type 2 NPI
Glendale Surgical Associates, LP
Oral and Maxillofacial Surgery (Dentist) · Mission Hills, CA
NPI number
1497003685
Active
Practice location
11550 Indian Hills Rd Ste 270
Mission Hills, CA 91345-1244
Fax (818) 365-5639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | OMS94 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 21413 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS71 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 37945 (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.
About NPI 1497003685
Glendale Surgical Associates, LP's National Provider Identifier is 1497003685, issued on Aug 21, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mission Hills, CA. The record was last updated on Aug 21, 2012.