Organization
COLUMBIA ORAL AND FACIAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK H. WANG DMD, MD (PRESIDENT)
(410) 730-6001
Entity
Organization
Contact information
Practice address
10782 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 730-6001
Mailing address
10782 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 730-6001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14992
MD
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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