| Prosmiles Family Dentistry | |
|
860 S 2nd Ave Suite D Walla Walla WA 99362-4072 | |
| (509) 529-3470 | |
| (509) 529-3474 |
| Full Name | Prosmiles Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 860 S 2nd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Cameron Stewart (OWNER) |
| Authorized Official Contact | 5095293470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosmiles Family Dentistry 860 S 2nd Ave Suite D Walla Walla WA 99362-4072 Ph: (509) 529-3470 | Prosmiles Family Dentistry 860 S 2nd Ave Suite D Walla Walla WA 99362-4072 Ph: (509) 529-3470 |
| NPI Number | 1821544792 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821544792 | NPI | - | NPPES |
| 1841387156 | Other | MEDICARE | |
| 5014667 | Medicaid | WA | |
| 50004 | Other | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00006438 (Washington) | Primary |
Blue Mountain Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Business One Cir, Walla Walla, WA 99362 Phone: 509-525-4662 Fax: 509-525-0513 | |
Cecil S. Ash Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3760 | |
Dr. Richard J. Sundberg D.d.s., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
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Walla Walla Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-7030 Fax: 509-522-3704 | |
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