| Washington Dental Corporation Pc | |
|
2390 Marvin Rd Ne Ste O Lacey WA 98516-1430 | |
| (360) 637-4609 | |
| (360) 707-4116 |
| Full Name | Washington Dental Corporation Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2390 Marvin Rd Ne Ste O, Lacey, Washington |
| Authorized Official Name and Position | Jessica Ahn (OWNER) |
| Authorized Official Contact | 3606374609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental Corporation Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Washington Dental Corporation Pc 2390 Marvin Rd Ne Ste O Lacey WA 98516-1430 Ph: (360) 637-4609 |
| NPI Number | 1508604992 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508604992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Brian K Rounds Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 College St Se, Lacey, WA 98503 Phone: 360-491-5880 Fax: 360-491-6820 | |
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