| South Sound Oral Surgery Pllc | |
|
1220 W 1st St Ste A Centralia WA 98531-3018 | |
| (360) 736-0715 | |
| (360) 330-5091 |
| Full Name | South Sound Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1220 W 1st St, Centralia, Washington |
| Authorized Official Name and Position | Laura Jean Caswell (OFFICE MANAGER) |
| Authorized Official Contact | 3607360715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Oral Surgery Pllc 1220 W 1st W Ste A Centralia WA 98531 Ph: (360) 736-0715 | South Sound Oral Surgery Pllc 1220 W 1st St Ste A Centralia WA 98531-3018 Ph: (360) 736-0715 |
| NPI Number | 1396830238 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396830238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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