| Sea Mar Chc Mt. Vernon Dental | |
|
1400 N Laventure Rd Mount Vernon WA 98273-2766 | |
| (360) 542-8901 | |
| (360) 542-8790 |
| Full Name | Sea Mar Chc Mt. Vernon Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 N Laventure Rd, Mount Vernon, Washington |
| Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067883224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Mt. Vernon Dental Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc Mt. Vernon Dental 1400 N Laventure Rd Mount Vernon WA 98273-2766 Ph: (360) 542-8901 |
| NPI Number | 1538217500 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538217500 | NPI | - | NPPES |
| 1012821 | Medicaid | WA |
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