| Clearwater Endodontics | |
|
802 7th St Clarkston WA 99403-2022 | |
| (509) 758-4181 | |
| (509) 758-4756 |
| Full Name | Clearwater Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 802 7th St, Clarkston, Washington |
| Authorized Official Name and Position | Matthew S Clegg (PRESIDENT) |
| Authorized Official Contact | 5097584181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Endodontics 802 7th St Clarkston WA 99403-2022 Ph: (509) 758-4181 | Clearwater Endodontics 802 7th St Clarkston WA 99403-2022 Ph: (509) 758-4181 |
| NPI Number | 1750644498 |
|---|---|
| Provider Enumeration Date | 06/18/2012 |
| Last Update Date | 06/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750644498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DE00010180 (Washington) | Primary |
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Clearwater Endodontics, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 7th St, Clarkston, WA 99403 Phone: 509-758-4181 Fax: 509-758-4756 | |
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