| Langsdorf Ps | |
|
11600 Se Mill Plain Blvd Suite J Vancouver WA 98684-5083 | |
| (360) 892-1776 | |
| (360) 892-8825 |
| Full Name | Langsdorf Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11600 Se Mill Plain Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Kimberly L Wright (BUSINESS MANAGER) |
| Authorized Official Contact | 3608921776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Langsdorf Ps 11600 Se Mill Plain Blvd Suite J Vancouver WA 98684-5083 Ph: (360) 892-1776 | Langsdorf Ps 11600 Se Mill Plain Blvd Suite J Vancouver WA 98684-5083 Ph: (360) 892-1776 |
| NPI Number | 1457490112 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457490112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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