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305 Blair Ave Friday Harbor WA 98250-8076 | |
| (360) 378-5300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 305 Blair Ave, Friday Harbor, Washington |
| Authorized Official Name and Position | Scott Reynolds (SECRETARY) |
| Authorized Official Contact | 3603785300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
305 Blair Ave Friday Harbor WA 98250-8076 Ph: (360) 378-5300 | 305 Blair Ave Friday Harbor WA 98250-8076 Ph: (360) 378-5300 |
| NPI Number | 1588011795 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588011795 | NPI | - | NPPES |
| 5053293 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010627 (Washington) | Primary |
Bo Turnage Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 1st St, Ste 9, Friday Harbor, WA 98250 Phone: 360-378-1943 Fax: 360-378-4915 | |
Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 A St, Suite #1, Friday Harbor, WA 98250 Phone: 360-378-5580 Fax: 360-378-5619 | |