| NPI | 1548375124 |
|---|---|
| Doing Business As | NORTHWEST ORAL & MAXILLOFACIAL SURGERY PS |
| Entity Type | Organization |
| Authorized Contact | ASHOKA SUBEDAR President 360-647-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |