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 |