Organization
SUNRIDGE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL K TEW DDS (PRESIDENT)
(509) 853-3622
Entity
Organization
Contact information
Practice address
5000 W NOB HILL BLVD, YAKIMA, WA 98908-3746
(509) 853-3622
(509) 853-3623
Mailing address
5000 W NOB HILL BLVD, YAKIMA, WA 98908-3746
(509) 853-3622
(509) 853-3623
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DE00006691
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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