| Meadowdale Dental Center | |
|
7500 Old Military Rd Ne Ste 201 Bremerton WA 98311-3242 | |
| (360) 692-4705 | |
| (360) 692-4846 |
| Full Name | Meadowdale Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 7500 Old Military Rd Ne Ste 201, Bremerton, Washington |
| Authorized Official Name and Position | Dawn M Divano (DENTIST) |
| Authorized Official Contact | 3606924705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadowdale Dental Center 7500 Old Military Rd Ne Ste 201 Bremerton WA 98311-3242 Ph: (360) 692-4705 | Meadowdale Dental Center 7500 Old Military Rd Ne Ste 201 Bremerton WA 98311-3242 Ph: (360) 692-4705 |
| NPI Number | 1689188336 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689188336 | NPI | - | NPPES |
| DE00010155 | Other | WA | STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DR00010155 (Washington) | Primary |
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