| Pioneer Family Dentistry | |
|
614 E Alder St Suite #4 Walla Walla WA 99362 | |
| (509) 522-0501 | |
| (509) 522-0502 |
| Full Name | Pioneer Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 614 E Alder St, Walla Walla, Washington |
| Authorized Official Name and Position | Herbert Edwards (OWNER/DENTIST) |
| Authorized Official Contact | 5095220501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Family Dentistry Po Box 2699 Walla Walla WA 99362 Ph: (509) 522-0501 | Pioneer Family Dentistry 614 E Alder St Suite #4 Walla Walla WA 99362 Ph: (509) 522-0501 |
| NPI Number | 1972940294 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972940294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00011045 (Washington) | Primary |
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