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Organization

WASHINGTON ORAL SURGERY CENTER, LLC

Active
Other names
Woodview Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKO NKUNGULA (FINANCE MANAGER)
(301) 341-0041
Entity
Organization

Contact information

Practice address
1401 MERCANTILE LN, SUITE 102, LARGO, MD 20774-4301
(301) 341-0041
Mailing address
1401 MERCANTILE LN, SUITE 102, LARGO, MD 20774-4301
(301) 341-0041

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
14426
MD

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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