NPI | 1700054913 |
---|---|
Doing Business As | BEL-RED ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | DOUGLAS TRIPPEL President 425-644-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE0005495) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00009124) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-05-13 |