| The Dentist@felida | |
|
10710 Nw Lakeshore Ave Vancouver WA 98685-4786 | |
| (206) 613-9193 | |
| Not Available |
| Full Name | The Dentist@felida |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10710 Nw Lakeshore Ave, Vancouver, Washington |
| Authorized Official Name and Position | Christian M Okafor (MANAGING MEMBER) |
| Authorized Official Contact | 2066139193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist@felida 2012 S 19th Way Ridgefield WA 98642-9279 Ph: () - | The Dentist@felida 10710 Nw Lakeshore Ave Vancouver WA 98685-4786 Ph: (206) 613-9193 |
| NPI Number | 1104329994 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104329994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60567260 (Washington) | Primary |
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