| Pacific Coast Oms | |
|
23206 Lyons Ave Ste 210 Newhall CA 91321-2672 | |
| (661) 259-9750 | |
| (661) 259-9797 |
| Full Name | Pacific Coast Oms |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 23206 Lyons Ave Ste 210, Newhall, California |
| Authorized Official Name and Position | Dianne Lafaurie (OFFICE MANAGER) |
| Authorized Official Contact | 8182414217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Oms 23206 Lyons Ave Ste 210 Newhall CA 91321-2672 Ph: (661) 259-9750 | Pacific Coast Oms 23206 Lyons Ave Ste 210 Newhall CA 91321-2672 Ph: (661) 259-9750 |
| NPI Number | 1225385867 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225385867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
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