| NPI | 1386176675 |
|---|---|
| Doing Business As | LONGVIEW ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CABEL ARON MCDONALD Owner 253-459-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: WA DE00010956) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |