| Rochester Family Dental/town Center Dental | |
|
1515 Nw Louisiana Ave Town Center Dental Chehalis WA 98532 | |
| (360) 740-6212 | |
| (360) 740-6222 |
| Full Name | Rochester Family Dental/town Center Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 Nw Louisiana Ave, Chehalis, Washington |
| Authorized Official Name and Position | John Pham (PRESIDENT) |
| Authorized Official Contact | 3607406212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Family Dental/town Center Dental 1515 Nw Louisiana Ave Chehalis WA 98532 Ph: (360) 740-6212 | Rochester Family Dental/town Center Dental 1515 Nw Louisiana Ave Town Center Dental Chehalis WA 98532 Ph: (360) 740-6212 |
| NPI Number | 1538243480 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538243480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008608 (Washington) | Primary |
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