NPI | 1720972664 |
---|---|
Doing Business As | SCOTTSDALE SURGICAL ARTS |
Entity Type | Organization |
Authorized Contact | DEVIN WAHLSTROM Owner/Oral Surgeon 503-752-2909 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-09-04 |