| Geriatric Dental Group | |
|
16500 Se 15th St Ste 150 Vancouver WA 98683-9667 | |
| (360) 326-3829 | |
| (360) 326-4289 |
| Full Name | Geriatric Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16500 Se 15th St Ste 150, Vancouver, Washington |
| Authorized Official Name and Position | Amy Linder (SECRETARY) |
| Authorized Official Contact | 3603263829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Dental Group 16500 Se 15th St Ste 150 Vancouver WA 98683-9667 Ph: (360) 326-3829 | Geriatric Dental Group 16500 Se 15th St Ste 150 Vancouver WA 98683-9667 Ph: (360) 326-3829 |
| NPI Number | 1164898342 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164898342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Washington) | Primary |
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