South Sound Oral Surgery Pllc
NPI #1396830238 in Centralia, Washington
Provider Information
- NPI Number
- 1396830238
- Entity Type
- Organization
- Organization Name
- South Sound Oral Surgery Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 1220 W 1ST ST
- Address 2
- STE A
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-3018
- Phone
- (360) 736-0715
Authorized Official
- Name
- MRS. LAURA JEAN CASWELL
- Title
- OFFICE MANAGER
- Phone
- (360) 736-0715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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