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Organization
VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT GROUP
Active
Organization
VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT GROUP
Active
Other names
Valley Oak Oral Surgery and Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HARRINGTON (CREDENTIALING SPECIALIST)
(775) 505-4775
Entity
Organization
Contact information
Practice address
1111 E HERNDON AVE STE 104, FRESNO, CA 93720-3100
(310) 626-3631
Mailing address
1111 E HERNDON AVE STE 104, FRESNO, CA 93720-3100
(310) 626-3631
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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