| Drew Malidore, D.d.s., P.l.l.c. | |
|
6500 Se Mile Hill Dr Port Orchard WA 98366-8724 | |
| (360) 871-0788 | |
| (360) 871-6976 |
| Full Name | Drew Malidore, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6500 Se Mile Hill Dr, Port Orchard, Washington |
| Authorized Official Name and Position | Drewett G Malidore (OWNER) |
| Authorized Official Contact | 3608710788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Malidore, D.d.s., P.l.l.c. 6500 Se Mile Hill Dr Port Orchard WA 98366-8724 Ph: (360) 871-0788 | Drew Malidore, D.d.s., P.l.l.c. 6500 Se Mile Hill Dr Port Orchard WA 98366-8724 Ph: (360) 871-0788 |
| NPI Number | 1922296201 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922296201 | NPI | - | NPPES |
| 1408327 | Other | UNITED CONCORDIA | |
| 59239 | Other | WDS | |
| 5040076 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7770 (Washington) | Primary |
Yeh Dds Msd & Leu Dds Ps Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 700 Prospect St Ste 100, Port Orchard, WA 98366 Phone: 360-876-3171 | |
J Eric Janaszak Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10407 Se Olympiad Dr., Port Orchard, WA 98366 Phone: 206-715-9391 | |
South Kitsap Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1953 Pottery Ave, Port Orchard, WA 98366 Phone: 360-876-6211 Fax: 360-876-7952 | |
Steven C. Chobot, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 Fax: 360-871-5104 | |
Justin L. Robison Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 | |
Chris Mueller Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Bay St, Port Orchard, WA 98366 Phone: 360-895-1401 Fax: 360-895-1296 | |
Cameron Warner Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Sw Bellevue Way, Port Orchard, WA 98367 Phone: 360-524-2732 |