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Organization
INLAND EMPIRE ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization
INLAND EMPIRE ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD DUDZIAK DDS, MD (PRESIDENT)
(909) 581-7761
Entity
Organization
Contact information
Practice address
8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Mailing address
8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
73
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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