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1721 E Lincoln Ave Sunnyside WA 98944-2478 | |
(509) 837-7178 | |
(509) 837-3117 |
Full Name | |
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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 |
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Po Box 979 Sunnyside WA 98944-0979 Ph: (509) 837-7178 | 1721 E Lincoln Ave Sunnyside WA 98944-2478 Ph: (509) 837-7178 |
NPI Number | 1013285949 |
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Provider Enumeration Date | 12/07/2011 |
Last Update Date | 12/07/2011 |
Identifier | Type | State | Issuer |
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1013285949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00010975 (Washington) | Primary |
Pioneer Specialty Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Yakima Valley Hwy, Sunnyside, WA 98944 Phone: 509-837-2731 Fax: 509-837-2202 | |
Greg Norell, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 E Edison Rd, Ste 2, Sunnyside, WA 98944 Phone: 509-837-3090 | |