Vancouver Smiles Dentistry | |
14411 Ne Fourth Plain Suite 134 Vancouver WA 98682 | |
(360) 768-0936 | |
Not Available |
Full Name | Vancouver Smiles Dentistry |
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Speciality | Dentist |
Location | 14411 Ne Fourth Plain, Vancouver, Washington |
Authorized Official Name and Position | Mariam Mena (OWNER) |
Authorized Official Contact | 3607680936 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vancouver Smiles Dentistry Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8890 | Vancouver Smiles Dentistry 14411 Ne Fourth Plain Suite 134 Vancouver WA 98682 Ph: (360) 768-0936 |
NPI Number | 1891258711 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 11/29/2023 |
Identifier | Type | State | Issuer |
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1891258711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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