| NPI | 1841833431 |
|---|---|
| Doing Business As | SEATTLE JAW SURGERY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL BOBEK Owner 503-475-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-28 |