Organization
LEWISTON-CLARKSTON ORAL & MAX. SURG. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SATOW (OWNER/ORAL SURGEON)
(509) 751-1110
Entity
Organization
Contact information
Practice address
1119 HIGHLAND AVE, SUITE 6, CLARKSTON, WA 99403-2836
(509) 751-1110
(509) 751-1114
Mailing address
1119 HIGHLAND AVE, SUITE 6, CLARKSTON, WA 99403-2836
(509) 751-1110
(509) 751-1114
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00007763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8804447
MEDICARE
WA
Enumeration date
10/23/2007
Last updated
10/23/2007
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