| Ayur Tmj And Craniofacial Pain Clinic & Dental Sleep Medicine Center | |
|
217 Se 136th Ave Suite 103 Vancouver WA 98684-6907 | |
| (360) 836-8398 | |
| (360) 836-8298 |
| Full Name | Ayur Tmj And Craniofacial Pain Clinic & Dental Sleep Medicine Center |
|---|---|
| Speciality | Dentist |
| Location | 217 Se 136th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Dr. Geetika Chawla (OWNER) |
| Authorized Official Contact | 3608368398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayur Tmj And Craniofacial Pain Clinic & Dental Sleep Medicine Center 217 Se 136th Ave Suite 103 Vancouver WA 98684-6907 Ph: (360) 836-8398 | Ayur Tmj And Craniofacial Pain Clinic & Dental Sleep Medicine Center 217 Se 136th Ave Suite 103 Vancouver WA 98684-6907 Ph: (360) 836-8398 |
| NPI Number | 1538518105 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 03/08/2017 |
| Medicare PECOS PAC ID | 8729355060 |
|---|---|
| Medicare Enrollment ID | O20170517001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538518105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8900 (Washington) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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