Organization
ORAL SURGERY PLUS P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI ANN TAYLOR (ACCOUNTS RECEIVABLE MANAGER)
(509) 928-8800
Entity
Organization
Contact information
Practice address
123 W FRANCIS AVE, SUITE 101, SPOKANE, WA 99205-6348
(509) 232-3831
(509) 321-0154
Mailing address
123 W FRANCIS AVE, SUITE 101, SPOKANE, WA 99205-6348
(509) 232-3831
(509) 321-0154
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
7006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5026083
—
WA
Enumeration date
05/23/2007
Last updated
02/25/2011
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