| Quality Dental Care | |
|
2701 Ne 114th Ave Suite 6 Vancouver WA 98684-4289 | |
| (503) 427-2984 | |
| Not Available |
| Full Name | Quality Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2701 Ne 114th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Jillian N Good-bodroug (ADMINISTRATOR) |
| Authorized Official Contact | 5034901275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Dental Care 2701 Ne 114th Ave Suite 6 Vancouver WA 98684-4289 Ph: (503) 427-2984 | Quality Dental Care 2701 Ne 114th Ave Suite 6 Vancouver WA 98684-4289 Ph: (503) 427-2984 |
| NPI Number | 1972941094 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972941094 | NPI | - | NPPES |
| 2001307 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010445 (Washington) | Primary |
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