Provider First Line Business Practice Location Address:
12395 EL CAMINO REAL, SUITE 304
Provider Second Line Business Practice Location Address:
TORREY PINES ORAL & MAXILLOFACIAL SURGERY
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-793-3393
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2015