| Oral And Facial Surgery Center Of Seattle | |
|
509 Olive Way Suite 1331 Seattle WA 98101-1720 | |
| (206) 624-0852 | |
| (206) 622-2084 |
| Full Name | Oral And Facial Surgery Center Of Seattle |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 509 Olive Way, Seattle, Washington |
| Authorized Official Name and Position | David J Haralson (OWNER) |
| Authorized Official Contact | 2066240852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery Center Of Seattle 509 Olive Way Suite 1331 Seattle WA 98101-1720 Ph: (206) 624-0852 | Oral And Facial Surgery Center Of Seattle 509 Olive Way Suite 1331 Seattle WA 98101-1720 Ph: (206) 624-0852 |
| NPI Number | 1831435197 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831435197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 60295571 (Washington) | Primary |
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