| Medical Lake Dental | |
|
N 123 Brower Medical Lake WA 99022 | |
| (509) 299-5171 | |
| (509) 299-5151 |
| Full Name | Medical Lake Dental |
|---|---|
| Speciality | Dentist |
| Location | N 123 Brower, Medical Lake, Washington |
| Authorized Official Name and Position | Bruce C Toillion (OWNER/DDS) |
| Authorized Official Contact | 5092995171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Lake Dental Po Box 10 Medical Lake WA 99022-0010 Ph: (509) 299-5171 | Medical Lake Dental N 123 Brower Medical Lake WA 99022 Ph: (509) 299-5171 |
| NPI Number | 1497077986 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497077986 | NPI | - | NPPES |
| 5511704 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4735 (Washington) | Primary |
Best Inpression Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 E. Wa 902, Medical Lake, WA 99022 Phone: 231-330-3150 | |
Ryan Bushman Dmd & Chase Davis Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 N Brower St, Medical Lake, WA 99022 Phone: 509-299-5171 |