WASHINGTONORALMAXILLOFACIALSURGERY NPI 1184944001

NPI Information

WASHINGTONORALMAXILLOFACIALSURGERY is an oral and maxillofacial surgery dentist in Everett, 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. WASHINGTONORALMAXILLOFACIALSURGERY NPI is 1184944001. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5929 EVERGREEN WAY
300
EVERETT, WA
ZIP 98203-031
Phone: (425) 356-3000
Fax: (452) 535-6316

The provider's authorized official is Jae Y Hong .
The authorized official title is Owner and has the following contact phone number (425) 356-3000.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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