# NEAL ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1720154404
- **Authorized official:** DR. GOARIK GALIA LEORARD MD DDS (ASSOCIATE)
- **Authorized official phone:** (206) 621-9047

## Contact information

- **Practice address:** 509 OLIVE WAY, SUITE 1207, SEATTLE, WA 98101
- **Practice address phone:** (206) 621-9047
- **Practice address fax:** (206) 624-4664
- **Mailing address:** 509 OLIVE WAY, SUITE 1207, SEATTLE, WA 98101
- **Mailing address phone:** (206) 621-9047
- **Mailing address fax:** (206) 624-4664

## 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:** 11/27/2006
- **Last updated:** 08/14/2008