| Peter Lubisich Iv, DMD | |
|
300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 | |
| (360) 256-1755 | |
| (360) 882-8080 |
| Full Name | Peter Lubisich Iv |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 300 Se 120th Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760703821 | NPI | - | NPPES |
| DE00009724 | Other | WA | STATE LICENSE |
| 5046941 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00009724 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Lubisich Iv, DMD 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 Ph: (360) 256-1755 | Peter Lubisich Iv, DMD 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 Ph: (360) 256-1755 |
Dr. Junghee Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7819 Ne 13th Ave, Vancouver, WA 98665 Phone: 360-546-1106 | |
Dr. Paria Mazareei, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12116 Se Mill Plain Blvd Ste 3, Vancouver, WA 98684 Phone: 727-458-6536 | |
Dr. Melissa Grant, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 Ne Highway 99, Vancouver, WA 98665 Phone: 360-696-4487 | |
Esther Su Young, RETIRED DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4610 Nw 138th St, Vancouver, WA 98685 Phone: 360-852-0179 | |
Dr. Susan Marie Karagianes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-3138 | |
Dr. John Robert Sundell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12711 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-896-4484 Fax: 360-896-4489 | |
Mrs. Kristine H Pham, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1300 Ne 134th Street, Vancouver, WA 98685 Phone: 360-546-5208 Fax: 360-574-2878 |