| Yakima Family Dental | |
|
2100 S 14th St Union Gap WA 98903-1252 | |
| (509) 457-6300 | |
| Not Available |
| Full Name | Yakima Family Dental |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2100 S 14th St, Union Gap, Washington |
| Authorized Official Name and Position | David Angotti (CFO) |
| Authorized Official Contact | 5098234481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Family Dental 4309 W Nob Hill Blvd Yakima WA 98908-3971 Ph: () - | Yakima Family Dental 2100 S 14th St Union Gap WA 98903-1252 Ph: (509) 457-6300 |
| NPI Number | 1740618925 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740618925 | NPI | - | NPPES |
| 2012717 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00009045 (Washington) | Primary |
Apple Valley Dental And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 S 14th St, Union Gap, WA 98903 Phone: 509-457-6300 |