NPI | 1255803904 |
---|---|
Doing Business As | PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS |
Entity Type | Organization |
Authorized Contact | BEN JOHNSON Partner 425-277-1844 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |