# INLAND EMPIRE ORAL AND MAXILLOFACIAL SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245497932
- **Authorized official:** DR. MATTHEW EDWARD DUDZIAK DDS, MD (PRESIDENT)
- **Authorized official phone:** (909) 581-7761

## Contact information

- **Practice address:** 8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
- **Practice address phone:** (909) 581-7761
- **Practice address fax:** (909) 581-7766
- **Mailing address:** 8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
- **Mailing address phone:** (909) 581-7761
- **Mailing address fax:** (909) 581-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 73 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008