# HARBOR ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1902083108
- **Authorized official:** DR. KERWIN L STEFFEN D.D.S (ORAL SURGEON)
- **Authorized official phone:** (253) 851-8880

## Contact information

- **Practice address:** 5122 OLYMPIC DR NW STE B106, GIG HARBOR, WA 98335-1769
- **Practice address phone:** (253) 851-8880
- **Practice address fax:** (253) 858-2783
- **Mailing address:** 5122 OLYMPIC DR NW STE B106, GIG HARBOR, WA 98335-1769
- **Mailing address phone:** (253) 851-8880
- **Mailing address fax:** (253) 858-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 005914 | WA | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 01/30/2008