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Tahoe Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Truckee, California
NPI 1053870287

Tahoe Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Truckee, CA and is specialized in Oral and Maxillofacial Surgery. Tahoe Oral Surgery practices in Truckee, CA. The NPI Number for Tahoe Oral Surgery is 1053870287 and holds a License No. (California).

The current practice location address for Tahoe Oral Surgery is 40165 Truckee Airport Rd Ste 303, Truckee, CA and can be reached out via phone at 530-541-4042.

Location: 40165 Truckee Airport Rd Ste 303, Truckee, CA, 96161-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053870287
Provider Name
Tahoe Oral Surgery
Credential
Provider Entity Type
Organization
Address
40165 Truckee Airport Rd Ste 303, Truckee, CA, 96161-4108
Phone Number
530-541-4042
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033353511 05 NY
1215073804 05 CA
institution
Provider Business Practice Location Address Details
Address
40165 Truckee Airport Rd Ste 303
City
Truckee
State
California
Zip
96161-4108
Phone Number
530-541-4042
Fax Number
person
Provider Business Mailing Address Details
Address
40165 Truckee Airport Rd Ste 303
City
Truckee
State
California
Zip
96161-4108
Phone Number
530-541-4042
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
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Definition
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.
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