| NPI | 1518538511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CABEL ARON MCDONALD Owner 360-425-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |