| Oral Surgery Office Inc | |
|
730 Sunrise Ave Ste 130 Roseville CA 95661 | |
| (916) 782-2161 | |
| (916) 782-0677 |
| Full Name | Oral Surgery Office Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 730 Sunrise Ave, Roseville, California |
| Authorized Official Name and Position | Reginald E Gowans (OWNER PRESIDENT) |
| Authorized Official Contact | 9167822161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Office Inc 730 Sunrise Ave Ste 130 Roseville CA 95661 Ph: (916) 782-2161 | Oral Surgery Office Inc 730 Sunrise Ave Ste 130 Roseville CA 95661 Ph: (916) 782-2161 |
| NPI Number | 1104002294 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104002294 | NPI | - | NPPES |
| 1043408925 | Other | DR GOWANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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