| South Sound Oral Surgery Pllc | |
|
1100 Station Dr Ste 181 Dupont WA 98327-9777 | |
| (253) 579-0000 | |
| (253) 579-0010 |
| Full Name | South Sound Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1100 Station Dr Ste 181, Dupont, Washington |
| Authorized Official Name and Position | Michael E Werner (DOCTOR) |
| Authorized Official Contact | 2535790000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Oral Surgery Pllc 1100 Station Dr Ste 181 Dupont WA 98327-9777 Ph: (253) 579-0000 | South Sound Oral Surgery Pllc 1100 Station Dr Ste 181 Dupont WA 98327-9777 Ph: (253) 579-0000 |
| NPI Number | 1942581681 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942581681 | NPI | - | NPPES |
| 1223S0112X | Medicaid | WA |
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