| Walter & Chen, Ps | |
|
3400 Squalicum Pkwy Ste 102 Bellingham WA 98225-1933 | |
| (360) 676-8920 | |
| (360) 647-5988 |
| Full Name | Walter & Chen, Ps |
|---|---|
| Speciality | Dentist |
| Location | 3400 Squalicum Pkwy Ste 102, Bellingham, Washington |
| Authorized Official Name and Position | Phillip M Chen (PRESIDENT) |
| Authorized Official Contact | 3606768920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter & Chen, Ps 3400 Squalicum Pkwy Ste 102 Bellingham WA 98225-1933 Ph: (360) 676-8920 | Walter & Chen, Ps 3400 Squalicum Pkwy Ste 102 Bellingham WA 98225-1933 Ph: (360) 676-8920 |
| NPI Number | 1356552970 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 07/02/2012 |
| Medicare PECOS PAC ID | 5294624623 |
|---|---|
| Medicare Enrollment ID | O20040313000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356552970 | NPI | - | NPPES |
| 5317003 | Medicaid | WA | |
| 5064902 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 601276100 (Washington) | Primary |
| Provider Name | Phillip M Chen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831301019 PECOS PAC ID: 5597853648 Enrollment ID: I20080213000522 |
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