Lewiston-clarkston Oral & Max. Surg. Pc | |
1119 Highland Ave Suite 6 Clarkston WA 99403-2836 | |
(509) 751-1110 | |
(509) 751-1114 |
Full Name | Lewiston-clarkston Oral & Max. Surg. Pc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1119 Highland Ave, Clarkston, Washington |
Authorized Official Name and Position | Sarah Satow (OWNER/ORAL SURGEON) |
Authorized Official Contact | 5097511110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lewiston-clarkston Oral & Max. Surg. Pc 1119 Highland Ave Suite 6 Clarkston WA 99403-2836 Ph: (509) 751-1110 | Lewiston-clarkston Oral & Max. Surg. Pc 1119 Highland Ave Suite 6 Clarkston WA 99403-2836 Ph: (509) 751-1110 |
NPI Number | 1740479914 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 10/23/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740479914 | NPI | - | NPPES |
G8804447 | Other | WA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00007763 (Washington) | Primary |
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