Prosser Dental Center | |
711 7th St Prosser WA 99350 | |
(509) 786-1222 | |
Not Available |
Full Name | Prosser Dental Center |
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Speciality | Dentist |
Location | 711 7th St, Prosser, Washington |
Authorized Official Name and Position | Robert Joseph Weber (OWNER) |
Authorized Official Contact | 5097861222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prosser Dental Center 711 7th St Prosser WA 99350 Ph: (509) 786-1222 | Prosser Dental Center 711 7th St Prosser WA 99350 Ph: (509) 786-1222 |
NPI Number | 1235106634 |
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Provider Enumeration Date | 03/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235106634 | NPI | - | NPPES |
5017934 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6505 (Washington) | Primary |
Community Dental Care Of Prosser Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Chardonnay Ave, Prosser, WA 99350 Phone: 509-781-6600 Fax: 509-781-6603 |