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Organization
GREEN VALLEY ORAL SURGERY AND DENTAL IMPLANT CENTER
Active
Organization
GREEN VALLEY ORAL SURGERY AND DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHYA RADWAN (PARTNER)
(408) 221-9333
Entity
Organization
Contact information
Practice address
5140 BUSINESS CENTER DR STE 120, FAIRFIELD, CA 94534-1794
(707) 800-3114
Mailing address
5140 BUSINESS CENTER DR STE 120, FAIRFIELD, CA 94534-1794
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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