# PARKSIDE ORAL SURGERY & IMPLANT CENTER

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

## Provider details

- **NPI number:** 1912461831
- **Authorized official:** DR. WENDY LIAO DDS (CEO)
- **Authorized official phone:** (510) 865-1114

## Contact information

- **Practice address:** 2525 SANTA CLARA AVE, ALAMEDA, CA 94501-4633
- **Practice address phone:** (510) 865-1114
- **Practice address fax:** (510) 227-6212
- **Mailing address:** 2525 SANTA CLARA AVE, ALAMEDA, CA 94501-4633
- **Mailing address phone:** (510) 865-1114
- **Mailing address fax:** (510) 227-6212

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 01/24/2019