| Salmon Creek Oral Surgery & Periodontics | |
|
14411 Ne 20th Ave Suite 111 Vancouver WA 98686-6431 | |
| (360) 695-2400 | |
| (360) 906-1116 |
| Full Name | Salmon Creek Oral Surgery & Periodontics |
|---|---|
| Speciality | Dentist |
| Location | 14411 Ne 20th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Craig W Wong (PRESIDENT) |
| Authorized Official Contact | 3606952400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmon Creek Oral Surgery & Periodontics 14411 Ne 20th Ave Suite 111 Vancouver WA 98686-6431 Ph: (360) 695-2400 | Salmon Creek Oral Surgery & Periodontics 14411 Ne 20th Ave Suite 111 Vancouver WA 98686-6431 Ph: (360) 695-2400 |
| NPI Number | 1396942090 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396942090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5774 (Washington) | Primary |
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