Organization
THOMPSON FERGUSON SCHRACK PLLC
Active
Other names
Affordable Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGOTTI (FINANCIAL DIRECTOR)
(509) 823-4480
Entity
Organization
Contact information
Practice address
7604 NE 5TH AVE STE 114, VANCOUVER, WA 98665-8200
(509) 823-4480
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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