| Fhc Bridgeport Dental | |
|
1015 Columbia Bridgeport WA 98813 | |
| (509) 686-0603 | |
| (509) 686-0610 |
| Full Name | Fhc Bridgeport Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 Columbia, Bridgeport, Washington |
| Authorized Official Name and Position | Jesus Hernandez (CEO) |
| Authorized Official Contact | 5094225700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhc Bridgeport Dental Po Box 1340 Okanogan WA 98840-1340 Ph: () - | Fhc Bridgeport Dental 1015 Columbia Bridgeport WA 98813 Ph: (509) 686-0603 |
| NPI Number | 1205253176 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205253176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |