| Inland Empire Oral And Maxillofacial Surgeons | |
|
8112 Milliken Ave 102 Rancho Cucamonga CA 91730-7471 | |
| (909) 581-7761 | |
| (909) 581-7766 |
| Full Name | Inland Empire Oral And Maxillofacial Surgeons |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8112 Milliken Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Matthew Edward Dudziak (PRESIDENT) |
| Authorized Official Contact | 9095817761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Empire Oral And Maxillofacial Surgeons 8112 Milliken Ave 102 Rancho Cucamonga CA 91730-7471 Ph: (909) 581-7761 | Inland Empire Oral And Maxillofacial Surgeons 8112 Milliken Ave 102 Rancho Cucamonga CA 91730-7471 Ph: (909) 581-7761 |
| NPI Number | 1245497932 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245497932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 73 (California) | Primary |
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