| NPI | 1063253672 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST ORAL AND MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOHNSON Owner 425-277-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |