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1118 Ocean Beach Hwy Longview WA 98632-4638 | |
(360) 423-5240 | |
(360) 501-5391 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1118 Ocean Beach Hwy, Longview, Washington |
Authorized Official Name and Position | Jd Troy (MEMBER) |
Authorized Official Contact | 3604235240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1118 Ocean Beach Hwy Longview WA 98632-4638 Ph: (360) 423-5240 | 1118 Ocean Beach Hwy Longview WA 98632-4638 Ph: (360) 423-5240 |
NPI Number | 1750825394 |
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Provider Enumeration Date | 12/16/2016 |
Last Update Date | 12/16/2016 |
Identifier | Type | State | Issuer |
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1750825394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE00008468 (Washington) | Primary |
Matthew E Lesh Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 14th Ave, Longview, WA 98632 Phone: 360-200-4924 | |
Dr Azizi Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1538 11th Ave, Longview, WA 98632 Phone: 323-804-1324 |