| South Beach Dental Clinic | |
|
509 S Montesano St Westport WA 98595 | |
| (360) 268-6225 | |
| (360) 268-6095 |
| Full Name | South Beach Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 S Montesano St, Westport, Washington |
| Authorized Official Name and Position | Duane W Pegg (PRESIDENT) |
| Authorized Official Contact | 3602686225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Beach Dental Clinic Po Box 2049 Westport WA 98595-2049 Ph: (360) 268-6225 | South Beach Dental Clinic 509 S Montesano St Westport WA 98595 Ph: (360) 268-6225 |
| NPI Number | 1437690955 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437690955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE008350 (Washington) | Primary |