# TURLOCK ORAL AND MAXILLOFACIAL SUGERY

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

## Provider details

- **NPI number:** 1487800215
- **Authorized official:** DR. VICTOR T PAK DDS (OWNER)
- **Authorized official phone:** (209) 667-5050

## Contact information

- **Practice address:** 1810 N OLIVE AVE STE 8, TURLOCK, CA 95382-2500
- **Practice address phone:** (209) 667-5050
- **Practice address fax:** (209) 667-7559
- **Mailing address:** 1810 N OLIVE AVE STE 8, TURLOCK, CA 95382-2500
- **Mailing address phone:** (209) 667-5050
- **Mailing address fax:** (209) 667-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53549 | CA | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/12/2008