OrganizationActive
Green Valley Oral Surgery and Dental Implant Center
NPI 1689138703 · Oral and Maxillofacial Pathology Dentistry · Fairfield, CA
Provider details
- NPI number
- 1689138703
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Yahya Radwan, Partner
Practice location
5140 Business Center Dr Ste 120
Fairfield, CA 94534-1794
Phone: (707) 800-3114
Mailing address
5140 Business Center Dr Ste 120
Fairfield, CA 94534-1794
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.