Organization
OCEAN ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SHAW DDS, MD (PARTNER)
(714) 841-4954
Entity
Organization
Contact information
Practice address
18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
(714) 841-4954
(714) 841-4964
Mailing address
18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
(714) 841-4954
(714) 841-4964
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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