DR. GREG A LOITZ MD DDS
Surgery Yellow Pages
La Selva Beach, California
Provider NPI: 1194803247
Provider Information:DR. GREG A LOITZ MD DDS
Practice Location:
33 PALMA AVE LA SELVA BEACH, CA 95076 US
Tel: 831-566-1112 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | CA | G52694 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAL BOARD OF CALIF | G52694 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin