Advanced Pediatric Dentistry Of Walla Walla | |
107 E Cherry St Walla Walla WA 99362-1912 | |
(509) 525-7336 | |
Not Available |
Full Name | Advanced Pediatric Dentistry Of Walla Walla |
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Speciality | Dentist - Pediatric Dentistry |
Location | 107 E Cherry St, Walla Walla, Washington |
Authorized Official Name and Position | Mellissa Renner (REGIONAL OPERATIONS MANAGER) |
Authorized Official Contact | 5416674145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Pediatric Dentistry Of Walla Walla 107 E Cherry St Walla Walla WA 99362-1912 Ph: (509) 525-7336 | Advanced Pediatric Dentistry Of Walla Walla 107 E Cherry St Walla Walla WA 99362-1912 Ph: (509) 525-7336 |
NPI Number | 1740630342 |
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Provider Enumeration Date | 06/15/2016 |
Last Update Date | 08/19/2020 |
Identifier | Type | State | Issuer |
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1740630342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | DE60203055 (Washington) | Primary |
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