| Gundersen Dental, Pllc | |
|
251 N. Chelan Ave Wenatchee WA 98801 | |
| (509) 663-4436 | |
| (509) 663-5974 |
| Full Name | Gundersen Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 251 N. Chelan Ave, Wenatchee, Washington |
| Authorized Official Name and Position | Tyler Burton Gundersen (OWNER) |
| Authorized Official Contact | 5096634436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Dental, Pllc 251 N. Chelan Ave Wenatchee WA 98801 Ph: (509) 663-4436 | Gundersen Dental, Pllc 251 N. Chelan Ave Wenatchee WA 98801 Ph: (509) 663-4436 |
| NPI Number | 1114470432 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114470432 | NPI | - | NPPES |
| 5048871 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | DE00010222 (Washington) | Secondary |
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Bryan Fletcher Dds Msd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 N Miller St, Wenatchee, WA 98801 Phone: 509-662-3621 | |
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