Sunridge Oral Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1356794481

Sunridge Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in: WA
In the registry since: 2016

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Practice location Address checks out

5000 W Nob Hill Blvd
Yakima, WA 98908-3746
Phone: (509) 853-3622
Fax: (509) 853-3623

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary)	Taxonomy 261QS0112X · Licence DE00006691 (WA)

Record details

NPI number	1356794481
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Darrell Tew — President · (509) 853-3622
NPI enumerated	July 13, 2016
Last updated in NPPES	July 13, 2016
Mailing address	5000 W Nob Hill Blvd, Yakima, WA 98908-3746