# THE CENTER FOR ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1992183594
- **Authorized official:** DR. HIRBOD ROWSHAN DDS (OWNER)
- **Authorized official phone:** (425) 454-5091

## Contact information

- **Practice address:** 12715 NE BEL RED RD STE 130, BELLEVUE, WA 98005-2627
- **Practice address phone:** (425) 454-5091
- **Mailing address:** 12715 NE BEL RED RD STE 130, BELLEVUE, WA 98005-2627
- **Mailing address phone:** (425) 454-5091
- **Mailing address fax:** (425) 454-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 60243710 | WA | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 05/01/2018