Organization · Type 2 NPI
King Oral Surgery Group
Oral and Maxillofacial Surgery (Dentist) · Waldorf, MD
NPI number
1679875033
Active
Practice location
11885 Holly Ln Ste 2
Waldorf, MD 20601-3187
Mailing address
6368 Coventry Way Ste 197
Clinton, MD 20735-2256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 14203 (MD) |
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.
Other oral and maxillofacial surgery (dentist) providers in Waldorf
About NPI 1679875033
King Oral Surgery Group's National Provider Identifier is 1679875033, issued on Nov 17, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Waldorf, MD. The record was last updated on Nov 17, 2010.