NPI | 1225437619 |
---|---|
Doing Business As | TACOMA ORAL SURGERY & IMPLANTS |
Entity Type | Organization |
Authorized Contact | PETER DAVID GAUGER Owner 253-572-4601 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE 60216311) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2024-02-08 |