# THOMPSON FERGUSON SCHRACK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740744374
- **Authorized official:** DAVID ANGOTTI (FINANCIAL DIRECTOR)
- **Authorized official phone:** (509) 823-4480

## Contact information

- **Practice address:** 7604 NE 5TH AVE STE 114, VANCOUVER, WA 98665-8200
- **Practice address phone:** (509) 823-4480
- **Mailing address:** 4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
- **Mailing address phone:** (509) 823-4480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 01/28/2019