| Winlock Family Dentistry | |
|
617 Cemetery Rd Winlock WA 98596-9303 | |
| (360) 785-4755 | |
| (360) 785-3336 |
| Full Name | Winlock Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 617 Cemetery Rd, Winlock, Washington |
| Authorized Official Name and Position | Karyn Mai (OWNER) |
| Authorized Official Contact | 3607854755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winlock Family Dentistry 617 Cemetery Rd Winlock WA 98596-9303 Ph: (360) 785-4755 | Winlock Family Dentistry 617 Cemetery Rd Winlock WA 98596-9303 Ph: (360) 785-4755 |
| NPI Number | 1134501844 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134501844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60543546 (Washington) | Primary |
Devin Clark, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Cemetery Rd Ste A, Winlock, WA 98596 Phone: 360-785-4655 Fax: 360-785-3336 |