The Professional Denture Center | |
533 South Mission St Wenatchee WA 98801 | |
(509) 664-7308 | |
(509) 664-4068 |
Full Name | The Professional Denture Center |
---|---|
Speciality | Dentist |
Location | 533 South Mission St, Wenatchee, Washington |
Authorized Official Name and Position | Jonathan Munger Dickson (DOCTOR/OWNER) |
Authorized Official Contact | 2532308084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Professional Denture Center 533 South Mission St Wenatchee WA 98801 Ph: (509) 664-7308 | The Professional Denture Center 533 South Mission St Wenatchee WA 98801 Ph: (509) 664-7308 |
NPI Number | 1962916379 |
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Provider Enumeration Date | 11/21/2017 |
Last Update Date | 12/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962916379 | NPI | - | NPPES |
2059589 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60292621 (Washington) | Primary |
122400000X | Denturist | 60772847 (Washington) | Secondary |
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