NPI | 1295257384 |
---|---|
Other Name | GARY R FELDMAN MD DDS PS |
Entity Type | Organization |
Authorized Contact | GARY R FELDMAN President 206-215-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA 17630) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA 17630) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2022-07-21 |