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1299 Bishop Rd Ste B Chehalis WA 98532-8758 | |
| (360) 740-9999 | |
| (360) 740-9998 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1299 Bishop Rd Ste B, Chehalis, Washington |
| Authorized Official Name and Position | John H Cho (OWNER) |
| Authorized Official Contact | 3607409999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1299 Bishop Rd Ste B Chehalis WA 98532-8758 Ph: (360) 740-9999 | 1299 Bishop Rd Ste B Chehalis WA 98532-8758 Ph: (360) 740-9999 |
| NPI Number | 1740785476 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740785476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60453236 (Washington) | Primary |
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