|
| |
|
21904 Marine View Dr S Suite A Des Moines WA 98198-6103 | |
| (206) 824-2804 | |
| (206) 824-4386 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21904 Marine View Dr S, Des Moines, Washington |
| Authorized Official Name and Position | Steven M Reeves (PRESIDENT) |
| Authorized Official Contact | 2068242804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
21904 Marine View Dr S Suite A Des Moines WA 98198-6103 Ph: (206) 824-2804 | 21904 Marine View Dr S Suite A Des Moines WA 98198-6103 Ph: (206) 824-2804 |
| NPI Number | 1558507541 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 12/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558507541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00005196 (Washington) | Primary |
Green Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23040 Pacific Hwy S Ste 311, Des Moines, WA 98198 Phone: 206-878-3111 | |
A-one Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23040 Pacific Hwy S, Suite 311, Des Moines, WA 98198 Phone: 420-687-8311 Fax: 206-824-2600 | |
Tn Sleep Appliances Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-458-3892 | |