# VANCOUVER ORAL SURGERY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568568772
- **Authorized official:** DR. GREGORY W BOICE DMD (PRESIDENT)
- **Authorized official phone:** (360) 260-3290

## Contact information

- **Practice address:** 300 SE 120TH AVE, SUITE 600, VANCOUVER, WA 98683-4090
- **Practice address phone:** (360) 260-3290
- **Practice address fax:** (360) 260-3291
- **Mailing address:** 300 SE 120TH AVE STE 800, VANCOUVER, WA 98683-4094
- **Mailing address phone:** (360) 260-3290
- **Mailing address fax:** (360) 260-3291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 04/19/2021