| West Pasco Family Dental-court St., Llc | |
|
1506 N Road 40 Pasco WA 99301-2615 | |
| (509) 547-9956 | |
| Not Available |
| Full Name | West Pasco Family Dental-court St., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1506 N Road 40, Pasco, Washington |
| Authorized Official Name and Position | Greg William Frodel (OWNER) |
| Authorized Official Contact | 5095479956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Pasco Family Dental-court St., Llc 1506 N Road 40 Pasco WA 99301-2615 Ph: (509) 547-9956 | West Pasco Family Dental-court St., Llc 1506 N Road 40 Pasco WA 99301-2615 Ph: (509) 547-9956 |
| NPI Number | 1245583806 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245583806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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