| Bonney Lake Oral Surgery | |
|
8412 Myers Rd Suite 101 Bonney Lake WA 98391-5112 | |
| (253) 863-2200 | |
| (253) 447-4968 |
| Full Name | Bonney Lake Oral Surgery |
|---|---|
| Speciality | Dentist |
| Location | 8412 Myers Rd, Bonney Lake, Washington |
| Authorized Official Name and Position | Rosa Maria Cortesi (OFFICE MANAGER) |
| Authorized Official Contact | 2538632200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonney Lake Oral Surgery 8412 Myers Rd Suite 101 Bonney Lake WA 98391-5112 Ph: (253) 863-2200 | Bonney Lake Oral Surgery 8412 Myers Rd Suite 101 Bonney Lake WA 98391-5112 Ph: (253) 863-2200 |
| NPI Number | 1235353392 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235353392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00008264 (Washington) | Primary |
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