Organization
PARKSIDE ORAL SURGERY & IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY LIAO DDS (CEO)
(510) 865-1114
Entity
Organization
Contact information
Practice address
2525 SANTA CLARA AVE, ALAMEDA, CA 94501-4633
(510) 865-1114
(510) 227-6212
Mailing address
2525 SANTA CLARA AVE, ALAMEDA, CA 94501-4633
(510) 865-1114
(510) 227-6212
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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