SALMON CREEK ORAL & MAXILLOFACIAL SURGERYLLC NPI 1083849913

NPI Information

SALMON CREEK ORAL & MAXILLOFACIAL SURGERY,LLC is an oral and maxillofacial surgery dentist in Vancouver, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SALMON CREEK ORAL & MAXILLOFACIAL SURGERY,LLC NPI is 1083849913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14411 NE 20TH AVE
SUITE 111
VANCOUVER, WA
ZIP 98686-431
Phone: (360) 695-2400
Fax: (360) 906-1116

The provider's authorized official is Craig W Wong .
The authorized official title is Owner/president and has the following contact phone number (360) 695-2400.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 11/19/2009.

Taxonomy Codes

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Other Identifiers

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