| South Coast Oral & Maxillofacial Surgery | |
|
2740 S Bristol St Suite 107 Santa Ana CA 92704-6209 | |
| (714) 556-7000 | |
| Not Available |
| Full Name | South Coast Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2740 S Bristol St, Santa Ana, California |
| Authorized Official Name and Position | Jeffrey Allan Elo (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 7145567000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Oral & Maxillofacial Surgery 2740 S Bristol St Suite 107 Santa Ana CA 92704-6209 Ph: (714) 556-7000 | South Coast Oral & Maxillofacial Surgery 2740 S Bristol St Suite 107 Santa Ana CA 92704-6209 Ph: (714) 556-7000 |
| NPI Number | 1558568311 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558568311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 53209 (California) | Primary |
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