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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