Organization
HIGHLAND HOSPITAL ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ELY DDS (RESIDENT)
(510) 437-8525
Entity
Organization
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-8525
Mailing address
1411 E 31ST ST, ORAL SURGERY CLINIC #E2, OAKLAND, CA 94602-1018
(510) 437-8525
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
64337
CA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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