| Deluna Kids Dental | |
|
11700 Ne 95th St Suite 120 Vancouver WA 98682-2399 | |
| (360) 735-0222 | |
| (360) 735-0223 |
| Full Name | Deluna Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11700 Ne 95th St, Vancouver, Washington |
| Authorized Official Name and Position | Rachel Gorman (MANAGER) |
| Authorized Official Contact | 3607350222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deluna Kids Dental 11700 Ne 95th St Suite 120 Vancouver WA 98682-2399 Ph: (360) 735-0222 | Deluna Kids Dental 11700 Ne 95th St Suite 120 Vancouver WA 98682-2399 Ph: (360) 735-0222 |
| NPI Number | 1396134185 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396134185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60244473 (Washington) | Primary |
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