# WW ORAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Germantown Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386081594
- **Authorized official:** DR. KENNETH WU D.D.S. (OWNER)
- **Authorized official phone:** (301) 916-0486

## Contact information

- **Practice address:** 19717 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
- **Practice address phone:** (301) 916-0486
- **Practice address fax:** (301) 916-0489
- **Mailing address:** 19717 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
- **Mailing address phone:** (301) 916-0486
- **Mailing address fax:** (301) 916-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14858 | MD | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 08/01/2017