| Vancouver Oral Surgery Group | |
|
300 Se 120th Ave Suite 600 Vancouver WA 98683-4090 | |
| (360) 260-3290 | |
| (360) 260-3291 |
| Full Name | Vancouver Oral Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 300 Se 120th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Gregory W Boice (PRESIDENT) |
| Authorized Official Contact | 3602603290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Oral Surgery Group 300 Se 120th Ave Ste 800 Vancouver WA 98683-4094 Ph: (360) 260-3290 | Vancouver Oral Surgery Group 300 Se 120th Ave Suite 600 Vancouver WA 98683-4090 Ph: (360) 260-3290 |
| NPI Number | 1568568772 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568568772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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