Oral Surgery Associates Inc. | |
3924 Martin Way E Olympia WA 98506-5220 | |
(360) 456-8610 | |
(360) 493-8179 |
Full Name | Oral Surgery Associates Inc. |
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Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 3924 Martin Way E, Olympia, Washington |
Authorized Official Name and Position | Gerald George Dolgash (PRESIDENT) |
Authorized Official Contact | 3604568610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral Surgery Associates Inc. 3924 Martin Way E Olympia WA 98506-5220 Ph: (360) 456-8610 | Oral Surgery Associates Inc. 3924 Martin Way E Olympia WA 98506-5220 Ph: (360) 456-8610 |
NPI Number | 1760447122 |
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Provider Enumeration Date | 04/19/2006 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760447122 | NPI | - | NPPES |
006680856 | Other | WA | AMERICAN DENTAL ASSOCIATI |
4068 | Other | WA | WASHINGTON STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 4068 (Washington) | Primary |
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