| Nate Repta Dmd Ps | |
|
275 Pendleton Way Washougal WA 98671-4203 | |
| (503) 453-3641 | |
| Not Available |
| Full Name | Nate Repta Dmd Ps |
|---|---|
| Speciality | Dentist |
| Location | 275 Pendleton Way, Washougal, Washington |
| Authorized Official Name and Position | Nate Repta (SHAREHOLDER) |
| Authorized Official Contact | 5034533641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nate Repta Dmd Ps 693 32nd St Unit 5 Washougal WA 98671-1865 Ph: () - | Nate Repta Dmd Ps 275 Pendleton Way Washougal WA 98671-4203 Ph: (503) 453-3641 |
| NPI Number | 1265088041 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265088041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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