| Centralia Orthodontics | |
|
2405 Borst Ave Centralia WA 98531-1411 | |
| (360) 736-0129 | |
| (360) 330-2074 |
| Full Name | Centralia Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2405 Borst Ave, Centralia, Washington |
| Authorized Official Name and Position | Frank A. Lasley (MEMBER) |
| Authorized Official Contact | 3607360129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralia Orthodontics Po Box 675 Centralia WA 98531-0675 Ph: (360) 736-0129 | Centralia Orthodontics 2405 Borst Ave Centralia WA 98531-1411 Ph: (360) 736-0129 |
| NPI Number | 1063631117 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063631117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Mckay Professional Services Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 S Gold St, Centralia, WA 98531 Phone: 360-736-5040 | |
Kids Dental Of Centralia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Kresky Ave, Centralia, WA 98531 Phone: 360-736-5437 | |
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