| Salmon Creek Family Dental | |
|
2515 Ne 134th St Suite 200 Vancouver WA 98686-3041 | |
| (360) 696-9461 | |
| (360) 699-7199 |
| Full Name | Salmon Creek Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2515 Ne 134th St, Vancouver, Washington |
| Authorized Official Name and Position | Dale Donaldson Nelson (OWNER/DENTIST) |
| Authorized Official Contact | 3606969461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salmon Creek Family Dental 2515 Ne 134th St Suite 200 Vancouver WA 98686-3041 Ph: () - | Salmon Creek Family Dental 2515 Ne 134th St Suite 200 Vancouver WA 98686-3041 Ph: (360) 696-9461 |
| NPI Number | 1588117568 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588117568 | NPI | - | NPPES |
| 5034020 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00006928 (Washington) | Primary |
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