Organization
INLAND EMPIRE ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD DUDZIAK DDS, MD (PRESIDENT)
(909) 581-7761
Entity
Organization
Contact information
Practice address
8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Mailing address
8112 MILLIKEN AVE, 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
73
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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