Organization · Type 2 NPI
South Sound Oral Surgery PLLC
Oral and Maxillofacial Surgery (Dentist) · Centralia, WA
Practice location
1220 W 1st St, Ste A
Centralia, WA 98531-3018
Fax (360) 330-5091
Mailing address
1220 W 1st W, Ste A
Centralia, WA 98531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
2 other providers at this address
About NPI 1396830238
South Sound Oral Surgery PLLC's National Provider Identifier is 1396830238, issued on Oct 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Centralia, WA. The record was last updated on Jul 25, 2008.