Bonney Lake Oral Surgery

NPI #1235353392 in Bonney Lake, Washington

Provider Information

NPI Number: 1235353392
Entity Type: Organization
Organization Name: Bonney Lake Oral Surgery
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8412 MYERS RD
Address 2: SUITE 101
City: Bonney Lake
State: Washington
ZIP Code: 98391-5112
Phone: (253) 863-2200

Authorized Official

Name: ROSA MARIA CORTESI
Title: OFFICE MANAGER
Phone: (253) 863-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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