C.w. Vittitow Dmd Pllc | |
2219 Rimland Dr Ste 110 Bellingham WA 98226-8661 | |
(360) 543-8488 | |
Not Available |
Full Name | C.w. Vittitow Dmd Pllc |
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Speciality | Clinic/Center |
Location | 2219 Rimland Dr Ste 110, Bellingham, Washington |
Authorized Official Name and Position | Charles W Vittitow (OWNER) |
Authorized Official Contact | 5025233514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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C.w. Vittitow Dmd Pllc 2520 Vallette Street Bellingham WA 98225 Ph: (502) 523-3514 | C.w. Vittitow Dmd Pllc 2219 Rimland Dr Ste 110 Bellingham WA 98226-8661 Ph: (360) 543-8488 |
NPI Number | 1720712938 |
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Provider Enumeration Date | 07/13/2022 |
Last Update Date | 08/12/2022 |
Medicare PECOS PAC ID | 2961870506 |
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Medicare Enrollment ID | O20221201002273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720712938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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