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Organization
LEWIS CLARK ORAL SURGERY
Active
Organization
LEWIS CLARK ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALLACE MORRISON D.M.D. (OWNER)
(509) 751-1110
Entity
Organization
Contact information
Practice address
1119 HIGHLAND AVE, NUMBER 6, CLARKSTON, WA 99403-2836
(509) 751-1110
Mailing address
1119 HIGHLAND AVE, NUMBER 6, CLARKSTON, WA 99403-2836
(509) 751-1110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 00011204
WA
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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