Organization
BONNEY LAKE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA MARIA CORTESI (OFFICE MANAGER)
(253) 863-2200
Entity
Organization
Contact information
Practice address
8412 MYERS RD, SUITE 101, BONNEY LAKE, WA 98391-5112
(253) 863-2200
(253) 447-4968
Mailing address
8412 MYERS RD, SUITE 101, BONNEY LAKE, WA 98391-5112
(253) 863-2200
(253) 447-4968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008264
WA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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