Organization
EDMONDS ORAL SURGERY, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E HELDRIDGE DDS (PARTNER/PRESIDENT)
(425) 744-1724
Entity
Organization
Contact information
Practice address
21701 76TH AVE W, #202, EDMONDS, WA 98026-7536
(425) 744-1724
(425) 744-1726
Mailing address
21701 76TH AVE W, #202, EDMONDS, WA 98026-7536
(425) 744-1724
(425) 744-1726
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5014691
—
WA
05
—
5350608
—
WA
Enumeration date
12/20/2007
Last updated
12/20/2007
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