| A Children's Dentist | |
|
1215 Sw Scotton Way Ste 130 Battle Ground WA 98604-2700 | |
| (360) 666-0530 | |
| (360) 666-9144 |
| Full Name | A Children's Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1215 Sw Scotton Way Ste 130, Battle Ground, Washington |
| Authorized Official Name and Position | Conway Jensen (OWNER) |
| Authorized Official Contact | 3606660530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Children's Dentist 1215 Sw Scotton Way Ste 130 Battle Ground WA 98604-2700 Ph: (360) 666-0530 | A Children's Dentist 1215 Sw Scotton Way Ste 130 Battle Ground WA 98604-2700 Ph: (360) 666-0530 |
| NPI Number | 1679728711 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679728711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010670 (Washington) | Primary |
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