| Olympic Oral Surgery | |
|
800 E Wishkah St Aberdeen WA 98520-2915 | |
| (360) 612-3034 | |
| Not Available |
| Full Name | Olympic Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 800 E Wishkah St, Aberdeen, Washington |
| Authorized Official Name and Position | David Carl Obenchain (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 3606123034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Oral Surgery 6542 36th Ln Se Lacey WA 98503-3949 Ph: (360) 250-9402 | Olympic Oral Surgery 800 E Wishkah St Aberdeen WA 98520-2915 Ph: (360) 612-3034 |
| NPI Number | 1023413077 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023413077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE 60102338 (Washington) | Primary |
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