Organization
ORAL SURGERY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GEORGE DOLGASH DDS (PRESIDENT)
(360) 456-8610
Entity
Organization
Contact information
Practice address
3924 MARTIN WAY E, OLYMPIA, WA 98506-5220
(360) 456-8610
(360) 493-8179
Mailing address
3924 MARTIN WAY E, OLYMPIA, WA 98506-5220
(360) 456-8610
(360) 493-8179
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4068
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006680856
AMERICAN DENTAL ASSOCIATI
WA
01
—
4068
WASHINGTON STATE LICENSE
WA
Enumeration date
04/19/2006
Last updated
03/07/2023
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