| Gresham Family Dental, Llc | |
|
1821 Se 192nd Ave Ste 200 Camas WA 98607-6507 | |
| (360) 852-8515 | |
| Not Available |
| Full Name | Gresham Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1821 Se 192nd Ave Ste 200, Camas, Washington |
| Authorized Official Name and Position | Laverne A Blair (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3608927107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gresham Family Dental, Llc 1821 Se 192nd Ave Ste 200 Camas WA 98607-6507 Ph: (360) 852-8515 | Gresham Family Dental, Llc 1821 Se 192nd Ave Ste 200 Camas WA 98607-6507 Ph: (360) 852-8515 |
| NPI Number | 1760214357 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760214357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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