| John Berwind Dds Ps | |
|
911 11th Ave Suite A Longview WA 98632-2547 | |
| (360) 423-4020 | |
| (360) 636-1460 |
| Full Name | John Berwind Dds Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 911 11th Ave, Longview, Washington |
| Authorized Official Name and Position | John Berwind (DENTIST-PRESIDENT) |
| Authorized Official Contact | 3604234020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Berwind Dds Ps 911 11th Ave Suite A Longview WA 98632-2547 Ph: (360) 423-4020 | John Berwind Dds Ps 911 11th Ave Suite A Longview WA 98632-2547 Ph: (360) 423-4020 |
| NPI Number | 1417053638 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417053638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4319 (Washington) | Primary |
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