Organization
PETER FORBER VANDERVEN PLLC
Active
Other names
South Sound Oral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LOUISE HARRELSON (FINANCIAL COORDINATOR)
(253) 874-2583
Entity
Organization
Contact information
Practice address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957
Mailing address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
602515196
WA
Other
Enumeration date
05/18/2006
Last updated
03/25/2013
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