| South Sound Oral Surgery Pllc | |
|
3425 Ensign Rd Ne Suite 310 Olympia WA 98506 | |
| (360) 456-5678 | |
| (356) 045-6123 |
| Full Name | South Sound Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3425 Ensign Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Laura Jean Caswell (OFFICE MANAGER) |
| Authorized Official Contact | 3607360715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Oral Surgery Pllc 3425 Ensign Rd Ne Ste 310 Olympia WA 98506 Ph: (360) 456-5678 | South Sound Oral Surgery Pllc 3425 Ensign Rd Ne Suite 310 Olympia WA 98506 Ph: (360) 456-5678 |
| NPI Number | 1407944614 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407944614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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