| Community Dental Orthodontics | |
|
1721 E Lincoln Ave Sunnyside WA 98944-2478 | |
| (509) 837-7178 | |
| (509) 837-3117 |
| Full Name | Community Dental Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1721 E Lincoln Ave, Sunnyside, Washington |
| Authorized Official Name and Position | Kent Copeland (OWNER DOCTOR) |
| Authorized Official Contact | 5098377178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Orthodontics Po Box 979 Sunnyside WA 98944-0979 Ph: (509) 837-7178 | Community Dental Orthodontics 1721 E Lincoln Ave Sunnyside WA 98944-2478 Ph: (509) 837-7178 |
| NPI Number | 1013285949 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013285949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00010975 (Washington) | Primary |
Sunny Smile Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 E Lincoln Ave, Sunnyside, WA 98944 Phone: 509-837-7933 Fax: 509-837-4397 | |
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Community Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 E Lincoln Ave, Sunnyside, WA 98944 Phone: 509-837-7178 Fax: 509-837-3117 | |
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