| Hilander Dental | |
|
510 Allen St Kelso WA 98626-4139 | |
| (360) 636-5170 | |
| (636) 636-0052 |
| Full Name | Hilander Dental |
|---|---|
| Speciality | Dentist |
| Location | 510 Allen St, Kelso, Washington |
| Authorized Official Name and Position | Renee Jeanette Kjose (MANAGER/CONTROLLER) |
| Authorized Official Contact | 3606365170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilander Dental 510 Allen St Kelso WA 98626-4139 Ph: (360) 636-5170 | Hilander Dental 510 Allen St Kelso WA 98626-4139 Ph: (360) 636-5170 |
| NPI Number | 1629383096 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629383096 | NPI | - | NPPES |
| 5035936 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Washington) | Primary |
Hilander Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Allen St, Suite A, Kelso, WA 98626 Phone: 360-636-5170 Fax: 360-636-0052 | |
Twin City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 W Main St, Kelso, WA 98626 Phone: 360-577-1153 Fax: 360-425-1540 | |
Pond And Young Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Allen St, Kelso, WA 98626 Phone: 360-636-5170 Fax: 360-636-0052 | |
Twin City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 West Main Street, Kelso, WA 98626 Phone: 360-577-1153 Fax: 360-425-1540 |