Organization
NORTHWEST IMAGING LLC
Active
Organization
NORTHWEST IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CARL OBENCHAIN DDS (MEMBER MANAGER)
(402) 740-4961
Entity
Organization
Contact information
Practice address
1020 ANDERSON DR, SUITE 205, ABERDEEN, WA 98520-1055
(360) 612-3034
(360) 532-9977
Mailing address
1020 ANDERSON DR, SUITE 205, ABERDEEN, WA 98520-1055
(360) 612-3034
(360) 532-9977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE601023338
WA
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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