Provider First Line Business Practice Location Address:
U OF WASHINGTON DEPARTMENT OF ORAL SURGERY
Provider Second Line Business Practice Location Address:
1959 NE PACIFIC STREET; BOX 357134
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-318-4501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2014