| Yelm Family Dentistry | |
|
106 Plaza Dr Se Bldg A, Suite 1 Yelm WA 98597-8798 | |
| (360) 458-1919 | |
| Not Available |
| Full Name | Yelm Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Plaza Dr Se, Yelm, Washington |
| Authorized Official Name and Position | Clista Rakow (OFFICE MANAGER) |
| Authorized Official Contact | 3604581919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelm Family Dentistry Po Box 5350 Yelm WA 98597-5350 Ph: (360) 458-1919 | Yelm Family Dentistry 106 Plaza Dr Se Bldg A, Suite 1 Yelm WA 98597-8798 Ph: (360) 458-1919 |
| NPI Number | 1932420650 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932420650 | NPI | - | NPPES |
| 5029046 | Other | WA | STATE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7336 (Washington) | Primary |
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