| Twin City Dental | |
|
409 W Main St Kelso WA 98626-1117 | |
| (360) 577-1153 | |
| (360) 425-1540 |
| Full Name | Twin City Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 409 W Main St, Kelso, Washington |
| Authorized Official Name and Position | Le Ann Baxter Winiger (OFFICE MANAGER) |
| Authorized Official Contact | 3605771153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin City Dental 409 W Main St Kelso WA 98626-1117 Ph: (360) 577-1153 | Twin City Dental 409 W Main St Kelso WA 98626-1117 Ph: (360) 577-1153 |
| NPI Number | 1811495211 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811495211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Twin City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 West Main Street, Kelso, WA 98626 Phone: 360-577-1153 Fax: 360-425-1540 |