| NPI | 1114584968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KYLES Surgeon/Owner 360-746-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |