| Ng Russell Dds Pc | |
|
20307 Viking Ave Nw Ste 201 Poulsbo WA 98370-8321 | |
| (360) 779-9770 | |
| Not Available |
| Full Name | Ng Russell Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20307 Viking Ave Nw Ste 201, Poulsbo, Washington |
| Authorized Official Name and Position | Nathan Russell (OWNER) |
| Authorized Official Contact | 2067801010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ng Russell Dds Pc 945 Hildebrand Ln Ne Ste 230 Bainbridge Island WA 98110-3080 Ph: (206) 780-1010 | Ng Russell Dds Pc 20307 Viking Ave Nw Ste 201 Poulsbo WA 98370-8321 Ph: (360) 779-9770 |
| NPI Number | 1184230294 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184230294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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