Organization
GREEN VALLEY ORAL SURGERY AND DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHYA RADWAN (PARTNER)
(408) 221-9333
Entity
Organization
Contact information
Practice address
5140 BUSINESS CENTER DR STE 120, FAIRFIELD, CA 94534-1794
(707) 800-3114
Mailing address
5140 BUSINESS CENTER DR STE 120, FAIRFIELD, CA 94534-1794
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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