National Provider Identifier Database

WASHINGTON ORAL SURGERY CENTER LLC
Oral and Maxillofacial Surgery

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.


Contact Information

WASHINGTON ORAL SURGERY CENTER, LLC
1401 MERCANTILE LN
SUITE 102
LARGO, MD20774-4301
Phone: 301-341-0041
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WASHINGTON ORAL SURGERY CENTER, LLC

NPI Number 1891039988
Legal business name
LBN
WASHINGTON ORAL SURGERY CENTER, LLC
Authorized official MIKO NKUNGULA - (FINANCE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/15/2012
Last updated 11/15/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 14426

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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