Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 38186 | CA |
NPI | 1033384037 |
---|---|
Provider Name | Deborah Finegold |
First Address | Selma, CA 93662-3250 |
Second Address | Selma, CA 93662-3250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 30/04/2008 |