| Apple Valley Dental & Orthodontics | |
|
3217 Picard Pl Sunnyside WA 98944-8400 | |
| (509) 823-4480 | |
| (509) 823-4488 |
| Full Name | Apple Valley Dental & Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3217 Picard Pl, Sunnyside, 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 & Orthodontics 4309 W Nob Hill Blvd Yakima WA 98908-3971 Ph: (509) 823-4480 | Apple Valley Dental & Orthodontics 3217 Picard Pl Sunnyside WA 98944-8400 Ph: (509) 823-4480 |
| NPI Number | 1528350287 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528350287 | NPI | - | NPPES |
| 5058441 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11197 (Washington) | Primary |
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