| Community Dental Care Of Zillah | |
|
812 Zillah West Rd Zillah WA 98953 | |
| (509) 829-6288 | |
| (509) 314-6603 |
| Full Name | Community Dental Care Of Zillah |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 812 Zillah West Rd, Zillah, Washington |
| Authorized Official Name and Position | Brent E Martin (DENTIST/OWNER) |
| Authorized Official Contact | 5093146600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Care Of Zillah 812 Zillah West Rd Zillah WA 98953 Ph: (509) 829-6288 | Community Dental Care Of Zillah 812 Zillah West Rd Zillah WA 98953 Ph: (509) 829-6288 |
| NPI Number | 1609168756 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609168756 | NPI | - | NPPES |
| 2251024 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Adams View Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 1st Ave, Zillah, WA 98953 Phone: 509-829-6611 Fax: 509-829-6663 |