| Chalet Dental | |
|
1006 S 64th Ave Ste 130 Yakima WA 98908-2090 | |
| (509) 965-0080 | |
| (509) 965-7328 |
| Full Name | Chalet Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1006 S 64th Ave Ste 130, Yakima, Washington |
| Authorized Official Name and Position | Sandra Mayhak (INSURANCE ADMIN. AND CREDENTIALING) |
| Authorized Official Contact | 5099650080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chalet Dental 1006 S 64th Ave Ste 130 Yakima WA 98908-2090 Ph: (509) 965-0080 | Chalet Dental 1006 S 64th Ave Ste 130 Yakima WA 98908-2090 Ph: (509) 965-0080 |
| NPI Number | 1467462200 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467462200 | NPI | - | NPPES |
| 5015201 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Washington) | Primary |
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