| |
16202 64th St E Suite #101 Sumner WA 98390-3028 | |
(253) 891-0977 | |
(253) 826-4613 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 16202 64th St E, Sumner, Washington |
Authorized Official Name and Position | D Richard Colton (PARTNER) |
Authorized Official Contact | 2538910977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16202 64th St E Suite #101 Sumner WA 98390-3028 Ph: (253) 891-0977 | 16202 64th St E Suite #101 Sumner WA 98390-3028 Ph: (253) 891-0977 |
NPI Number | 1699911222 |
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Provider Enumeration Date | 01/03/2009 |
Last Update Date | 01/03/2009 |
Identifier | Type | State | Issuer |
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1699911222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5404 (Washington) | Primary |
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