| |
3217 Picard Pl Sunnyside WA 98944-8400 | |
(509) 790-0722 | |
(509) 837-2517 |
Full Name | |
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Speciality | Dentist |
Location | 3217 Picard Pl, Sunnyside, Washington |
Authorized Official Name and Position | Derek C Thompson (OWNER) |
Authorized Official Contact | 5098234480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4309 W Nob Hill Blvd Yakima WA 98908-3971 Ph: (509) 823-4480 | 3217 Picard Pl Sunnyside WA 98944-8400 Ph: (509) 790-0722 |
NPI Number | 1396023164 |
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Provider Enumeration Date | 07/28/2011 |
Last Update Date | 01/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396023164 | NPI | - | NPPES |
1091661 | Medicaid | WA | |
2005801 | Medicaid | WA | |
2011723 | Medicaid | WA | |
1010228 | Medicaid | WA | |
2003693 | Medicaid | WA | |
2009912 | Medicaid | WA | |
1054937 | Medicaid | WA | |
2009645 | Medicaid | WA | |
2009772 | Medicaid | WA |
Pioneer Specialty Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Yakima Valley Hwy, Sunnyside, WA 98944 Phone: 509-837-2731 Fax: 509-837-2202 | |
Greg Norell, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 E Edison Rd, Ste 2, Sunnyside, WA 98944 Phone: 509-837-3090 | |