| Oral Surgery Solutions | |
|
2621 Ne 134th St Suite 210 Vancouver WA 98686-3036 | |
| (360) 450-2121 | |
| (360) 859-4524 |
| Full Name | Oral Surgery Solutions |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2621 Ne 134th St, Vancouver, Washington |
| Authorized Official Name and Position | Justin M Hollar (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 3604502121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Solutions 2621 Ne 134th St Suite 210 Vancouver WA 98686-3036 Ph: (360) 450-2121 | Oral Surgery Solutions 2621 Ne 134th St Suite 210 Vancouver WA 98686-3036 Ph: (360) 450-2121 |
| NPI Number | 1942661905 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942661905 | NPI | - | NPPES |
| 2000538 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00004353 (Washington) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE 00010161 (Washington) | Primary |
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