Maxillofacial Surgical Arts in Northridge - Specialist
Maxillofacial Surgical Arts - NPI 1174702187
Maxillofacial Surgical Arts is a Specialist in Northridge, California. Maxillofacial Surgical Arts practices all healthcare services and medical treatments related to Specialist. The NPI Number for Maxillofacial Surgical Arts is 1174702187. The last update date is 2007-10-25.
Maxillofacial Surgical Arts's current location address is 9066 Tampa Ave, Northridge, California. You can contact this provider via phone number 8189935700. The mailing address for Maxillofacial Surgical Arts is 9066 Tampa Ave, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maxillofacial Surgical Arts |
|---|---|
| Address | 9066 Tampa Ave, Northridge, California |
| Phone Number | 8189935700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Relle Robert |
| Credentials | D.D.S. |
| Telephone Number | 8189935700 |
NPI Number Detail
| NPI Number | 1174702187 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 9066 Tampa Ave |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913243523 |
| Phone Number | 8189935700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 34203 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maxillofacial Surgical Arts by the Centers for Medicare & Medicaid Services?
The Maxillofacial Surgical Arts has been issued the NPI (National Provider Identifier) 1174702187 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Maxillofacial Surgical Arts is physically located?
The Maxillofacial Surgical Arts is situated at the following address: 9066 Tampa Ave, Northridge, CA 913243523.
What is Maxillofacial Surgical Arts's area of expertise and its corresponding taxonomy classification?
The Maxillofacial Surgical Arts's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174702187 to Maxillofacial Surgical Arts?
The Centers for Medicare & Medicaid Services originally issued the 1174702187 to Maxillofacial Surgical Arts on 2007-10-25.
When was the Maxillofacial Surgical Arts's information last updated?
The Maxillofacial Surgical Arts's information was last updated on 2007-10-25.