| Nw Affinity Dental | |
|
19120 Se 34th St Suite 104 Vancouver WA 98683-1429 | |
| (360) 253-3500 | |
| (360) 823-0267 |
| Full Name | Nw Affinity Dental |
|---|---|
| Speciality | Dentist |
| Location | 19120 Se 34th St, Vancouver, Washington |
| Authorized Official Name and Position | Derek Michaud (DENTIST) |
| Authorized Official Contact | 3602533500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Affinity Dental 19120 Se 34th St Suite 104 Vancouver WA 98683-1429 Ph: (360) 253-3500 | Nw Affinity Dental 19120 Se 34th St Suite 104 Vancouver WA 98683-1429 Ph: (360) 253-3500 |
| NPI Number | 1477006831 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477006831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00011060 (Washington) | Primary |
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