NPI 1396830238
South Sound Oral Surgery PLLC
Practice location
- Address
- 1220 W 1st St STE a, Centralia, WA 98531-3018
- Phone
- (360) 736-0715
- Fax
- (360) 330-5091
- Mailing address
- 1220 W 1st W STE a, Centralia, WA 98531
Authorised official
- Name
- Laura Jean Caswell
- Title
- Office Manager
- Phone
- (360) 736-0715
Registered specialties
Oral and Maxillofacial Surgery (Dentist)
Primary
Registry record
- NPI
- 1396830238
- Entity type
- Organization
- NPI issued
- 4 Oct 2006
- Record last updated
- 25 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.