| Riverside Dental | |
|
2016 Ne 3rd Ave Camas WA 98607-1705 | |
| (360) 834-3533 | |
| Not Available |
| Full Name | Riverside Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2016 Ne 3rd Ave, Camas, Washington |
| Authorized Official Name and Position | Jennifer Lynn Hough (CEO) |
| Authorized Official Contact | 3608343533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental 2016 Ne 3rd Ave Camas WA 98607-1705 Ph: (360) 834-3533 | Riverside Dental 2016 Ne 3rd Ave Camas WA 98607-1705 Ph: (360) 834-3533 |
| NPI Number | 1669819769 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669819769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7268 (Washington) | Primary |
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