| Apple Valley Dental And Orthodontics | |
|
6525 Burden Boulevard Pasco WA 99301 | |
| (509) 823-4480 | |
| (509) 823-4488 |
| Full Name | Apple Valley Dental And Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 6525 Burden Boulevard, Pasco, Washington |
| Authorized Official Name and Position | Derek Thompson (OWNER) |
| Authorized Official Contact | 5098234480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Dental And Orthodontics 4309 W Nob Hill Blvd Yakima WA 98908-3971 Ph: (509) 823-4480 | Apple Valley Dental And Orthodontics 6525 Burden Boulevard Pasco WA 99301 Ph: (509) 823-4480 |
| NPI Number | 1598008880 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598008880 | NPI | - | NPPES |
| 1091661 | Medicaid | WA | |
| 2013650 | Medicaid | WA | |
| 2017327 | Medicaid | WA | |
| 2020875 | Medicaid | WA | |
| 2003693 | Medicaid | WA | |
| 2011723 | Medicaid | WA | |
| 2005801 | Medicaid | WA | |
| 2009912 | Medicaid | WA | |
| 1054937 | Medicaid | WA |
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Spencer S. Jilek, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 Sandifur Parkway, Suite B, Pasco, WA 99301 Phone: 509-547-0730 Fax: 509-547-8860 | |
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