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General NPI Number Information
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NPI Number | 1033060173
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Entity Type | Organization
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Legal Business Name | CALIFORNIA ORAL AND IMPLANT SURGERY
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 22926 THREE NOTCH RD STE 103
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City | CALIFORNIA
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State | MD
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Zip | 20619-3204
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Country | US
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Telephone | 301-685-5688
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Fax | 301-558-3627
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Provider Business Mailing Address
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Address Line | 22926 THREE NOTCH RD STE 103
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City | CALIFORNIA
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State | MD
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Zip | 20619-3204
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Country | US
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Telephone | 301-685-5688
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Fax | 301-558-3627
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Authorized Official
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Title or Position | OWNER
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Name | JOHN MCELVEEN
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Credential | MD, PHARMD, DDS
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Telephone | 301-685-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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