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Lewis Clark Oral Surgery
Dental Clinic/Center in Clarkston, Washington
NPI 1588992721

Lewis Clark Oral Surgery is a Dental Clinic/Center based in Clarkston, WA and is specialized in Dental. Lewis Clark Oral Surgery practices in Clarkston, WA. The NPI Number for Lewis Clark Oral Surgery is 1588992721 and holds a License No. DE 00011204 (Washington).

The current practice location address for Lewis Clark Oral Surgery is 1119 Highland Ave, Clarkston, WA and can be reached out via phone at 509-751-1110.

Location: 1119 Highland Ave, Clarkston, WA, 99403-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588992721
Provider Name
Lewis Clark Oral Surgery
Credential
Provider Entity Type
Organization
Address
1119 Highland Ave, Clarkston, WA, 99403-2836
Phone Number
509-751-1110
Fax Number
Provider Enumeration Date
11/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164567913 01 ID NPI - PERSONAL
institution
Provider Business Practice Location Address Details
Address
1119 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-751-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1119 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2836
Phone Number
509-751-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DE 00011204 (Washington)
Definition
Definition to come...
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