Lewis Clark Oral Surgery

NPI #1588992721 in Clarkston, Washington

Provider Information

NPI Number: 1588992721
Entity Type: Organization
Organization Name: Lewis Clark Oral Surgery
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 30, 2009
Last Updated: Nov 30, 2009

Practice Location

Address: 1119 HIGHLAND AVE
Address 2: NUMBER 6
City: Clarkston
State: Washington
ZIP Code: 99403-2836
Phone: (509) 751-1110

Authorized Official

Name: DR. JOHN WALLACE MORRISON, D.M.D.
Title: OWNER
Phone: (509) 751-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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