| Blaine Harbor Dental | |
|
215 Marine Dr # 1 Blaine WA 98230-4036 | |
| (360) 332-2400 | |
| (360) 332-7161 |
| Full Name | Blaine Harbor Dental |
|---|---|
| Speciality | Dentist |
| Location | 215 Marine Dr # 1, Blaine, Washington |
| Authorized Official Name and Position | Patrick James Rooney (PRESIDENT) |
| Authorized Official Contact | 3603322400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Harbor Dental 215 Marine Dr # 1 Blaine WA 98230-4036 Ph: (360) 332-2400 | Blaine Harbor Dental 215 Marine Dr # 1 Blaine WA 98230-4036 Ph: (360) 332-2400 |
| NPI Number | 1083884191 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083884191 | NPI | - | NPPES |
| 5028790 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00007541 (Washington) | Primary |
Gagan S. Sandhu, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 H St, Blaine, WA 98230 Phone: 360-332-8737 | |
Yoon & Lim Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 H St, Blaine, WA 98230 Phone: 360-332-8737 |