| 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 |