# NORTHWEST IMAGING LLC

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

## Provider details

- **NPI number:** 1578947545
- **Authorized official:** DR. DAVID CARL OBENCHAIN DDS (MEMBER MANAGER)
- **Authorized official phone:** (402) 740-4961

## Contact information

- **Practice address:** 1020 ANDERSON DR, SUITE 205, ABERDEEN, WA 98520-1055
- **Practice address phone:** (360) 612-3034
- **Practice address fax:** (360) 532-9977
- **Mailing address:** 1020 ANDERSON DR, SUITE 205, ABERDEEN, WA 98520-1055
- **Mailing address phone:** (360) 612-3034
- **Mailing address fax:** (360) 532-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE601023338 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2015
- **Last updated:** 07/19/2015