| Airway Heights Dental | |
|
W. 13326 14th Street Airway Heights WA 99001 | |
| (509) 244-3655 | |
| (509) 244-9527 |
| Full Name | Airway Heights Dental |
|---|---|
| Speciality | Dentist |
| Location | W. 13326 14th Street, Airway Heights, Washington |
| Authorized Official Name and Position | Alan O Cazan (DENTIST/OWNER) |
| Authorized Official Contact | 5092443655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airway Heights Dental P.o. Box 1570 Airway Heights WA 99001-1570 Ph: (509) 244-3655 | Airway Heights Dental W. 13326 14th Street Airway Heights WA 99001 Ph: (509) 244-3655 |
| NPI Number | 1427373869 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427373869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4519 (Washington) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 60051632 (Washington) | Secondary |
Josh Cochran 11919, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11919 W Sunset Highway, Airway Heights, WA 99001 Phone: 509-903-8719 |