| Columbia Endodontic Group, P.s. | |
|
5015 Ne St. Johns Road Vancouver WA 98661 | |
| (360) 699-1101 | |
| (360) 695-3152 |
| Full Name | Columbia Endodontic Group, P.s. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5015 Ne St. Johns Road, Vancouver, Washington |
| Authorized Official Name and Position | David Akio Kosa (TREASURER) |
| Authorized Official Contact | 3606991101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Endodontic Group, P.s. 5015 Ne St. Johns Road Vancouver WA 98661 Ph: (360) 699-1101 | Columbia Endodontic Group, P.s. 5015 Ne St. Johns Road Vancouver WA 98661 Ph: (360) 699-1101 |
| NPI Number | 1174617724 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174617724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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