| Sonbridge Community Center | |
|
1200 Se 12th St College Place WA 99324-1827 | |
| (509) 529-3100 | |
| Not Available |
| Full Name | Sonbridge Community Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Se 12th St, College Place, Washington |
| Authorized Official Name and Position | Melvin S Lang (DIRECTOR) |
| Authorized Official Contact | 5093013460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonbridge Community Center 1200 Se 12th St College Place WA 99324-1827 Ph: (509) 529-3100 | Sonbridge Community Center 1200 Se 12th St College Place WA 99324-1827 Ph: (509) 529-3100 |
| NPI Number | 1134534084 |
|---|---|
| Provider Enumeration Date | 06/29/2014 |
| Last Update Date | 06/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134534084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 603318670 (Washington) | Primary |
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