EVERGREEN ORAL SURGERY
Organization (NPI-2)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1811586761- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6050 TACOMA MALL BLVD STE 330, TACOMA, WA, 984096811
- Phone
- (253) 473-0651
- Fax
- (253) 444-0761
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary