| Family Orthodontics | |
|
15593 Se Mill Plain Blvd. Suite 120 Vancouver WA 98684 | |
| (360) 882-5090 | |
| (360) 882-5121 |
| Full Name | Family Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15593 Se Mill Plain Blvd., Vancouver, Washington |
| Authorized Official Name and Position | Leslie P Livingston (OFFICE COORDINATOR) |
| Authorized Official Contact | 3608825090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontics 15593 S.e. Mill Plain Blvd. Suite 120 Vancouver WA 98684 Ph: (360) 882-5090 | Family Orthodontics 15593 Se Mill Plain Blvd. Suite 120 Vancouver WA 98684 Ph: (360) 882-5090 |
| NPI Number | 1790995058 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 05/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790995058 | NPI | - | NPPES |
| 986-077 | Other | WA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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