| Brent A Skovmand Dds Pc | |
|
2617 Griffin Avenue Enumclan WA 98022 | |
| (360) 825-2191 | |
| (360) 825-1830 |
| Full Name | Brent A Skovmand Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2617 Griffin Avenue, Enumclan, Washington |
| Authorized Official Name and Position | Brent Arnold Skovmand (PRESIDENT) |
| Authorized Official Contact | 3608252191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent A Skovmand Dds Pc 2617 Griffin Avenue Enumclan WA 98022 Ph: (360) 825-2191 | Brent A Skovmand Dds Pc 2617 Griffin Avenue Enumclan WA 98022 Ph: (360) 825-2191 |
| NPI Number | 1447329578 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447329578 | NPI | - | NPPES |
| 5027941 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6175 (Washington) | Primary |