Provider First Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON ORAL SURGERY DEPT
Provider Second Line Business Practice Location Address:
BOX 357134, 1959 NE PACIFIC ST.
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-7134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-543-7722
Provider Business Practice Location Address Fax Number:
206-685-7222
Provider Enumeration Date:
07/29/2009