| Southpoint Dental Center | |
|
1129 S 2nd Ave Ste A Walla Walla WA 99362-4100 | |
| (509) 522-2522 | |
| Not Available |
| Full Name | Southpoint Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1129 S 2nd Ave Ste A, Walla Walla, Washington |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpoint Dental Center 1129 S 2nd Ave Ste A Walla Walla WA 99362-4100 Ph: () - | Southpoint Dental Center 1129 S 2nd Ave Ste A Walla Walla WA 99362-4100 Ph: (509) 522-2522 |
| NPI Number | 1942978986 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942978986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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