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870 11th Ave Longview WA 98632-2402 | |
(360) 425-4900 | |
(360) 636-4641 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 870 11th Ave, Longview, Washington |
Authorized Official Name and Position | Chad L Kleven (DOCTOR) |
Authorized Official Contact | 3604254900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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870 11th Ave Longview WA 98632-2402 Ph: (360) 425-4900 | 870 11th Ave Longview WA 98632-2402 Ph: (360) 425-4900 |
NPI Number | 1326205014 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 11/01/2016 |
Identifier | Type | State | Issuer |
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1326205014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5977 (Washington) | Primary |
Matthew E Lesh Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 14th Ave, Longview, WA 98632 Phone: 360-200-4924 | |
Dr Azizi Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1538 11th Ave, Longview, WA 98632 Phone: 323-804-1324 |