KING ORAL SURGERY GROUP NPI 1679875033

NPI Information

KING ORAL SURGERY GROUP is an oral and maxillofacial surgery dentist in Waldorf, MD. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. KING ORAL SURGERY GROUP NPI is 1679875033. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is N/a.

The provider's business location address is:

11885 HOLLY LN STE 2
WALDORF, MD
ZIP 20601-187
Phone: (301) 645-4555

The provider's authorized official is Micheal King .
The authorized official title is President and has the following contact phone number (615) 293-3744.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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