Vancouver Dental Llc | |
16600 Se 15th St Vancouver WA 98683-9501 | |
(360) 878-7435 | |
Not Available |
Full Name | Vancouver Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 16600 Se 15th St, Vancouver, Washington |
Authorized Official Name and Position | Clark Brinton (OWNER) |
Authorized Official Contact | 5052734994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vancouver Dental Llc 16600 Se 15th St Vancouver WA 98683-9501 Ph: () - | Vancouver Dental Llc 16600 Se 15th St Vancouver WA 98683-9501 Ph: (360) 878-7435 |
NPI Number | 1245011634 |
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Provider Enumeration Date | 10/11/2023 |
Last Update Date | 10/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245011634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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