institution
Wilshire Oral Surgery & Implant Center
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1205370319

Wilshire Oral Surgery & Implant Center is a Oral and Maxillofacial Surgery (Dentist) based in Los Angeles, CA and is specialized in Oral and Maxillofacial Surgery. Wilshire Oral Surgery & Implant Center practices in Los Angeles, CA. The NPI Number for Wilshire Oral Surgery & Implant Center is 1205370319 and holds a License No. 58812 (California).

The current practice location address for Wilshire Oral Surgery & Implant Center is 12300 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-652-6553 and via fax at 310-652-6553.

Location: 12300 Wilshire Blvd, Los Angeles, CA, 90025-1020
institution
Provider Profile Details
NPI Number
1205370319
Provider Name
Wilshire Oral Surgery & Implant Center
Credential
Provider Entity Type
Organization
Address
12300 Wilshire Blvd, Los Angeles, CA, 90025-1020
Phone Number
310-652-6553
Fax Number
310-652-6553
Provider Enumeration Date
12/08/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
12300 Wilshire Blvd
City
State
Zip
90025-1020
Phone Number
310-652-6553
Fax Number
310-652-6553
person
Provider Business Mailing Address Details
Address
12300 Wilshire Blvd
City
State
Zip
90025-1020
Phone Number
310-652-6553
Fax Number
310-652-6553
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
58812 (California)
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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