Pacific Nw Dentistry | |
110 D St Se Auburn WA 98002-5528 | |
(253) 397-4030 | |
Not Available |
Full Name | Pacific Nw Dentistry |
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Speciality | Dentist - General Practice |
Location | 110 D St Se, Auburn, Washington |
Authorized Official Name and Position | Jean-paul Banh (DENTIST/MANAGING MEMBER) |
Authorized Official Contact | 2533974030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pacific Nw Dentistry 110 D St Se Auburn WA 98002-5528 Ph: (253) 397-4030 | Pacific Nw Dentistry 110 D St Se Auburn WA 98002-5528 Ph: (253) 397-4030 |
NPI Number | 1235547175 |
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Provider Enumeration Date | 07/23/2014 |
Last Update Date | 07/23/2014 |
Identifier | Type | State | Issuer |
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1235547175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DE60475803 (Washington) | Primary |
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