1223G0001X
Vancouver, WA
Specialty
1223G0001X
Credential
DMD
NPI
1497816664
2415 Ne 134th St, Vancouver, WA 98686
(360) 576-5060Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1223g0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1223G0001X