| Facial Oral And Dental Implant Surgery Associates, Inc. | |
|
1256 Se Bishop Blvd Suite I Pullman WA 99163-5414 | |
| (509) 330-5020 | |
| Not Available |
| Full Name | Facial Oral And Dental Implant Surgery Associates, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1256 Se Bishop Blvd, Pullman, Washington |
| Authorized Official Name and Position | Stephen W Holm (OWNER) |
| Authorized Official Contact | 5093305020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Oral And Dental Implant Surgery Associates, Inc. 1256 Se Bishop Blvd Suite I Pullman WA 99163-5414 Ph: (509) 330-5020 | Facial Oral And Dental Implant Surgery Associates, Inc. 1256 Se Bishop Blvd Suite I Pullman WA 99163-5414 Ph: (509) 330-5020 |
| NPI Number | 1730638180 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730638180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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