| Kettle Falls Family Dentistry | |
|
130 W 10th Ave Kettle Falls WA 99141-8666 | |
| (509) 738-6880 | |
| (509) 738-6824 |
| Full Name | Kettle Falls Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 W 10th Ave, Kettle Falls, Washington |
| Authorized Official Name and Position | Thomas B Johnson (OWNER) |
| Authorized Official Contact | 5097386880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettle Falls Family Dentistry 130 W 10th Ave Kettle Falls WA 99141-8666 Ph: (509) 738-6880 | Kettle Falls Family Dentistry 130 W 10th Ave Kettle Falls WA 99141-8666 Ph: (509) 738-6880 |
| NPI Number | 1184082455 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184082455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00011072 (Washington) | Primary |