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256 Northwest Park Street Chehalis WA 98532 | |
| (360) 748-6629 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 256 Northwest Park Street, Chehalis, Washington |
| Authorized Official Name and Position | Edward E Fletcher (DOCTOR) |
| Authorized Official Contact | 3607486629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
256 Nw Park St Chehalis WA 98532-2023 Ph: (360) 748-6629 | 256 Northwest Park Street Chehalis WA 98532 Ph: (360) 748-6629 |
| NPI Number | 1780130625 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780130625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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