Organization
FACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W HOLM DMD (OWNER)
(509) 330-5020
Entity
Organization
Contact information
Practice address
1256 SE BISHOP BLVD, SUITE I, PULLMAN, WA 99163-5414
(509) 330-5020
Mailing address
1256 SE BISHOP BLVD, SUITE I, PULLMAN, WA 99163-5414
(509) 330-5020
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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