NPI | 1104396969 |
---|---|
Doing Business As | SILVER CREEK ORAL SURGERY AND PUGET SOUND ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | MARK W STIVERS Owner 425-239-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2018-12-04 |
Last Update Date | 2018-12-04 |