| Splendent | |
|
430 Terra Eden St Forks WA 98331-9604 | |
| (360) 374-6868 | |
| (360) 374-6870 |
| Full Name | Splendent |
|---|---|
| Speciality | Dentist |
| Location | 430 Terra Eden St, Forks, Washington |
| Authorized Official Name and Position | Karen Crouse (ACCOUNTANT) |
| Authorized Official Contact | 3604573303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Splendent 430 Terra Eden St Forks WA 98331-9604 Ph: (360) 374-6868 | Splendent 430 Terra Eden St Forks WA 98331-9604 Ph: (360) 374-6868 |
| NPI Number | 1598056996 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598056996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10147 (Washington) | Primary |
Forks Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 G St, Forks, WA 98331 Phone: 360-374-2288 Fax: 360-374-2283 |