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Organization
THOMPSON FERGUSON SCHRACK PLLC
Active
Organization
THOMPSON FERGUSON SCHRACK PLLC
Active
Other names
Affordable Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGOTTI (FINANCIAL DIRECTOR)
(509) 823-4480
Entity
Organization
Contact information
Practice address
7604 NE 5TH AVE STE 114, VANCOUVER, WA 98665-8200
(509) 823-4480
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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