| Dental Health Group | |
|
21197 Sr 410 E Bonney Lake WA 98391-8457 | |
| (253) 862-0194 | |
| (253) 862-9068 |
| Full Name | Dental Health Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21197 Sr 410 E, Bonney Lake, Washington |
| Authorized Official Name and Position | Alan J Orsborn (OWNER) |
| Authorized Official Contact | 2538620194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Group 21197 Sr 410 E Bonney Lake WA 98391-8457 Ph: (253) 862-0194 | Dental Health Group 21197 Sr 410 E Bonney Lake WA 98391-8457 Ph: (253) 862-0194 |
| NPI Number | 1194979732 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 11/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194979732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5747 (Washington) | Primary |
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