Washington Oral Surgery Center, LLC

NPI #1891039988 in Largo, Maryland

Provider Information

NPI Number
1891039988
Entity Type
Organization
Organization Name
Washington Oral Surgery Center, LLC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Nov 15, 2012
Last Updated
Nov 15, 2012

Practice Location

Address
1401 MERCANTILE LN
Address 2
SUITE 102
City
Largo
ZIP Code
20774-4301
Phone
(301) 341-0041

Authorized Official

Name
MR. MIKO NKUNGULA
Title
FINANCE MANAGER
Phone
(301) 341-0041

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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