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Organization
FEDERAL WAY ORAL SURGERY PC
Active
Organization
FEDERAL WAY ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DUNNAM (DIRECTOR OF OPERATIONS)
(817) 226-6790
Entity
Organization
Contact information
Practice address
33801 1ST WAY S STE 311, FEDERAL WAY, WA 98003-4548
(817) 646-0089
Mailing address
33801 1ST WAY S STE 311, FEDERAL WAY, WA 98003-4548
(817) 646-0089
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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