| NPI | 1407020126 |
|---|---|
| Doing Business As | EASTSIDE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARIA O'NEIL Manager 425-641-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 5611) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-06-16 |