Elma Family Dental | |
410 W Main St Elma WA 98541 | |
(360) 861-8318 | |
(360) 861-8539 |
Full Name | Elma Family Dental |
---|---|
Speciality | Dentist |
Location | 410 W Main St, Elma, Washington |
Authorized Official Name and Position | Stephen Edwards (OWNER/MANAGER) |
Authorized Official Contact | 3608618318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elma Family Dental Po Box 1309 410 W Main St Elma WA 98541-1309 Ph: (360) 861-8318 | Elma Family Dental 410 W Main St Elma WA 98541 Ph: (360) 861-8318 |
NPI Number | 1760827380 |
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Provider Enumeration Date | 05/09/2013 |
Last Update Date | 05/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760827380 | NPI | - | NPPES |
1386734416 | Other | NPI | |
1427022326 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE000010695 (Washington) | Primary |