| |
100 Dennis St Sw Ste G Tumwater WA 98501-6523 | |
(360) 786-9354 | |
(360) 786-8490 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 100 Dennis St Sw Ste G, Tumwater, Washington |
Authorized Official Name and Position | Edward A Fletcher (PRESIDENT) |
Authorized Official Contact | 3607869354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Dennis St Sw Ste G Tumwater WA 98501-6523 Ph: (360) 786-9354 | 100 Dennis St Sw Ste G Tumwater WA 98501-6523 Ph: (360) 786-9354 |
NPI Number | 1366688822 |
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Provider Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366688822 | NPI | - | NPPES |
1588877922 | Other | WA | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4710 (Washington) | Primary |
Gundersen Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Cleveland Ave Se, Tumwater, WA 98501 Phone: 360-352-2781 | |
Lance Bowers Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6340 Littlerock Rd Sw, Tumwater, WA 98512 Phone: 360-786-1313 Fax: 360-786-1603 | |
Joshua Merrell, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Tyee Dr Sw, Tumwater, WA 98512 Phone: 201-919-1426 | |
Ajaipal Dhanoa Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 Capitol Blvd Sw, Tumwater, WA 98501 Phone: 360-943-5420 | |