| NPI | 1518520170 |
|---|---|
| Doing Business As | LOWER COLUMBIA ORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SAM WISE Owner 360-636-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2021-12-16 |