# KULSHAN ORAL SURGERY

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

## Provider details

- **NPI number:** 1801485818
- **Authorized official:** MATTHEW YEH (MEMBER)
- **Authorized official phone:** (360) 441-3999

## Contact information

- **Practice address:** 2210 KULSHAN VIEW DR STE 104, MOUNT VERNON, WA 98273-2779
- **Practice address phone:** (360) 424-4848
- **Mailing address:** 2141 WASHINGTON ST, FERNDALE, WA 98248-9183
- **Mailing address phone:** (360) 441-3999

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 01/14/2021