| Dennis Lane Hoofnagle | |
|
911 N Forest St Bellingham WA 98225-5507 | |
| (360) 676-1651 | |
| (360) 676-4065 |
| Full Name | Dennis Lane Hoofnagle |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 911 N Forest St, Bellingham, Washington |
| Authorized Official Name and Position | Dennis Lane Hoofnagle (OWNER) |
| Authorized Official Contact | 3606761651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Lane Hoofnagle 911 N Forest St Bellingham WA 98225-5507 Ph: (360) 676-1651 | Dennis Lane Hoofnagle 911 N Forest St Bellingham WA 98225-5507 Ph: (360) 676-1651 |
| NPI Number | 1417101197 |
|---|---|
| Provider Enumeration Date | 11/08/2008 |
| Last Update Date | 11/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417101197 | NPI | - | NPPES |
| 5325709 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00003572 (Washington) | Primary |
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