Organization
DOUGLAS TOPPER WILSON MILLER AND BOSSHARDT PS
Active
Organization
DOUGLAS TOPPER WILSON MILLER AND BOSSHARDT PS
Active
Other names
Yakima Oral Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C MILLER MD DDS (VICE PRESIDENT)
(509) 965-8911
Entity
Organization
Contact information
Practice address
4207 TIETON DR, YAKIMA, WA 98908-3347
(509) 965-8911
(509) 965-6143
Mailing address
4207 TIETON DR, YAKIMA, WA 98908-3347
(509) 965-8911
(509) 965-6143
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5028519
—
WA
Enumeration date
10/24/2006
Last updated
08/22/2020
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