| Twin City Dental | |
|
409 West Main Street Kelso WA 98626 | |
| (360) 577-1153 | |
| (360) 425-1540 |
| Full Name | Twin City Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 409 West Main Street, Kelso, Washington |
| Authorized Official Name and Position | Pennie Lyn Broyles (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 West Main Street Kelso WA 98626 Ph: (360) 577-1153 | Twin City Dental 409 West Main Street Kelso WA 98626 Ph: (360) 577-1153 |
| NPI Number | 1942318829 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942318829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4754 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | 8788 (Washington) | Secondary |
Hilander Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Allen St, Suite A, Kelso, WA 98626 Phone: 360-636-5170 Fax: 360-636-0052 | |
Hilander Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Allen St, Kelso, WA 98626 Phone: 360-636-5170 Fax: 636-636-0052 | |
Twin City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 W Main St, Kelso, WA 98626 Phone: 360-577-1153 Fax: 360-425-1540 | |
Pond And Young Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Allen St, Kelso, WA 98626 Phone: 360-636-5170 Fax: 360-636-0052 |