| Pacific Avenue Dental | |
|
820 Pacific Ave Ste 204 Bremerton WA 98337 | |
| (360) 373-3515 | |
| (360) 373-2176 |
| Full Name | Pacific Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 820 Pacific Ave, Bremerton, Washington |
| Authorized Official Name and Position | Allan Lee Hablutzel (DENTIST OWNER) |
| Authorized Official Contact | 3603733515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Avenue Dental 820 Pacific Ave Ste 204 Bremerton WA 98337 Ph: (360) 373-3515 | Pacific Avenue Dental 820 Pacific Ave Ste 204 Bremerton WA 98337 Ph: (360) 373-3515 |
| NPI Number | 1023123726 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023123726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5706 (Washington) | Primary |
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