NPI | 1568841799 |
---|---|
Doing Business As | WISDOM TEETH & ORAL SURGERY CENTER OF SEATTLE |
Former Legal Business Name | OBENCHAIN, PLLC |
Entity Type | Organization |
Authorized Contact | DAVID CARL OBENCHAIN Oral & Maxillofacial Surgeon 402-740-4961 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE60102338) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2022-12-22 |