| NPI | 1417477019 |
|---|---|
| Doing Business As | ELEVATE FAMILY DENTISTRY |
| Doing Business As | PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | BEN JOHNSON Partner 425-277-1844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60204550) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |