Facial Oral and Dental Implant Surgery Associates, Inc.
NPI #1730638180 in Pullman, Washington
Provider Information
- NPI Number
- 1730638180
- Entity Type
- Organization
- Organization Name
- Facial Oral and Dental Implant Surgery Associates, Inc.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 27, 2016
- Last Updated
- Sep 27, 2016
Practice Location
- Address
- 1256 SE BISHOP BLVD
- Address 2
- SUITE I
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-5414
- Phone
- (509) 330-5020
Authorized Official
- Name
- STEPHEN W HOLM, DMD
- Title
- OWNER
- Phone
- (509) 330-5020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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