| Pacific Northwest Oral and Maxillofacial Surgeons | |
|
275 Sw 160th St Ste 115 Burien WA 98166-3003 | |
| (425) 277-1844 | |
| Not Available |
| Full Name | Pacific Northwest Oral and Maxillofacial Surgeons |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 275 Sw 160th St Ste 115, Burien, Washington |
| Authorized Official Name and Position | Benjamin Johnson (OWNER) |
| Authorized Official Contact | 4252771844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Oral and Maxillofacial Surgeons 601 S Carr Rd Ste 300 Renton WA 98055-5840 | Pacific Northwest Oral and Maxillofacial Surgeons 275 Sw 160th St Ste 115 Burien WA 98166-3003 Ph: (425) 277-1844 |
| NPI Number | 1063253672 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063253672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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