| NPI | 1265408108 | 
|---|---|
| Doing Business As | EASTSIDE ORAL SURGERY ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | JAMES C RICE President 425-641-5560  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 5611)  | 
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 5246)  | 
| Enumeration Date | 2006-02-28 | 
| Last Update Date | 2020-08-22 |