| Forks Family Dental | |
|
421 G St Forks WA 98331-9025 | |
| (360) 374-2288 | |
| (360) 374-2283 |
| Full Name | Forks Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 421 G St, Forks, Washington |
| Authorized Official Name and Position | Kyle Timothy Fukano (OWNER/PROVIDER) |
| Authorized Official Contact | 3603742288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forks Family Dental Po Box 1429 Forks WA 98331-1429 Ph: (360) 374-2288 | Forks Family Dental 421 G St Forks WA 98331-9025 Ph: (360) 374-2288 |
| NPI Number | 1508230038 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508230038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008801 (Washington) | Primary |
Splendent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Terra Eden St, Forks, WA 98331 Phone: 360-374-6868 Fax: 360-374-6870 |