Yelm Dental | |
718 W Yelm Ave # 3 Yelm WA 98597-8764 | |
(360) 458-5606 | |
Not Available |
Full Name | Yelm Dental |
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Speciality | Dentist |
Location | 718 W Yelm Ave # 3, Yelm, Washington |
Authorized Official Name and Position | Stephen E Smith (OWNER) |
Authorized Official Contact | 3604585606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yelm Dental 718 W Yelm Ave # 3 Yelm WA 98597-8764 Ph: (360) 458-5606 | Yelm Dental 718 W Yelm Ave # 3 Yelm WA 98597-8764 Ph: (360) 458-5606 |
NPI Number | 1336694231 |
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Provider Enumeration Date | 08/20/2016 |
Last Update Date | 08/20/2016 |
Identifier | Type | State | Issuer |
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1336694231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60674424 (Washington) | Primary |
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