| Vancouver Family Dental | |
|
217 Se 136th Ave Ste 102 Vancouver WA 98684-6908 | |
| (360) 896-9595 | |
| (360) 896-9703 |
| Full Name | Vancouver Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 217 Se 136th Ave Ste 102, Vancouver, Washington |
| Authorized Official Name and Position | Hooman Shakiba (MANAGER) |
| Authorized Official Contact | 3608969595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Family Dental 217 Se 136th Ave Ste 102 Vancouver WA 98684-6908 Ph: (360) 896-9595 | Vancouver Family Dental 217 Se 136th Ave Ste 102 Vancouver WA 98684-6908 Ph: (360) 896-9595 |
| NPI Number | 1841567062 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841567062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60242017 (Washington) | Primary |
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