Walnut Creek-Danville Oral Surgery
NPI #1679878763 in Walnut Creek, California
Provider Information
- NPI Number
- 1679878763
- Entity Type
- Organization
- Organization Name
- Walnut Creek-Danville Oral Surgery
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 20, 2011
- Last Updated
- Jan 29, 2018
Practice Location
- Address
- 1855 SAN MIGUEL DR
- Address 2
- SUITE 25
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94596-5279
- Phone
- (925) 934-5565
Authorized Official
- Name
- TERRI MATULOVICH
- Title
- OFFICE MANAGER
- Phone
- (925) 934-5565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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