| Frerichs And Davidson Pllc | |
|
206 S 15th St Mount Vernon WA 98274-4507 | |
| (360) 424-3611 | |
| (360) 424-3300 |
| Full Name | Frerichs And Davidson Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 206 S 15th St, Mount Vernon, Washington |
| Authorized Official Name and Position | Tod Davidson (PARTNER) |
| Authorized Official Contact | 3604243611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frerichs And Davidson Pllc 206 S 15th St Mount Vernon WA 98274-4507 Ph: (360) 424-3611 | Frerichs And Davidson Pllc 206 S 15th St Mount Vernon WA 98274-4507 Ph: (360) 424-3611 |
| NPI Number | 1568002954 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568002954 | NPI | - | NPPES |
| 1487884086 | Other | WA | DENTAL PROVIDER |
| 1134518293 | Other | WA | DENTAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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