NPI | 1942661905 |
---|---|
Doing Business As | ORAL SURGERY SOLUTIONS |
Entity Type | Organization |
Authorized Contact | JUSTIN M HOLLAR Owner/Oral Surgeon 360-450-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE 00010161) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE00004353) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |