| Lewis River Dental | |
|
500 Columbia St Suite B Woodland WA 98674-8491 | |
| (360) 225-5600 | |
| (360) 225-0369 |
| Full Name | Lewis River Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 Columbia St, Woodland, Washington |
| Authorized Official Name and Position | Bryan Carl Johnson (OWNER) |
| Authorized Official Contact | 3602255600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis River Dental 500 Columbia St Suite B Woodland WA 98674-8491 Ph: (360) 225-5600 | Lewis River Dental 500 Columbia St Suite B Woodland WA 98674-8491 Ph: (360) 225-5600 |
| NPI Number | 1962717520 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962717520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8734 (Washington) | Primary |
Cowlitz Family Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4339 | |
Gideon M Arnett, Dmd, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Columbia St Ste B, Woodland, WA 98674 Phone: 360-225-5600 | |
Hadi Youssef Dmd Pllc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Goerig St, Woodland, WA 98674 Phone: 971-231-5124 |