Organization · Type 2 NPI

Willow Glen Dental Specialists

Oral and Maxillofacial Surgery (Dentist) · San Jose, CA

NPI number 1609385020 Active

Practice location

1706 Willow St Ste A
San Jose, CA 95125-5216

Call (408) 504-4935 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS54347
Endodontics 1223E0200XNone listed
Periodontics 1223P0300XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

3 other providers at this address

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About NPI 1609385020

Willow Glen Dental Specialists's National Provider Identifier is 1609385020, issued on Sep 28, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Jose, CA. The record was last updated on May 10, 2018.