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EDMONDS ORAL SURGERY, P.S.

Surgery Yellow Pages

Edmonds, Washington

Provider NPI: 1811171275

Organization Information:
Organization Name:  EDMONDS ORAL SURGERY, P.S.


Practice Location:
21701 76TH AVE W #202 EDMONDS, WA 98026 US
Tel: 425-744-1724  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QS0112XAmbulatory Health Care Facilities
Clinic/Center
Oral and Maxillofacial Surgery
WA

Other Provider Identifiers:

IssuerNumberStateType
5350608WA05
5014691WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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