| Basic Dental Care Of Walla Walla | |
|
2014 S Howard St Ste D Walla Walla WA 99362-4532 | |
| (509) 525-9111 | |
| (509) 525-0832 |
| Full Name | Basic Dental Care Of Walla Walla |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2014 S Howard St Ste D, Walla Walla, Washington |
| Authorized Official Name and Position | Danis L Laizure (OWNER) |
| Authorized Official Contact | 5095254833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basic Dental Care Of Walla Walla 2014 S Howard St Ste D Walla Walla WA 99362-4532 Ph: (509) 525-9111 | Basic Dental Care Of Walla Walla 2014 S Howard St Ste D Walla Walla WA 99362-4532 Ph: (509) 525-9111 |
| NPI Number | 1578889739 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578889739 | NPI | - | NPPES |
| 5056833 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4946 (Washington) | Primary |
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Cecil S. Ash Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3760 | |
Dr. Richard J. Sundberg D.d.s., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Edwards & Choi Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 E. Alder St., Suite #3, Walla Walla, WA 99362 Phone: 509-526-7012 Fax: 509-526-7013 | |
Walla Walla Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-7030 Fax: 509-522-3704 | |
Antonio D. Caso, D.d.s., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3760 Fax: 509-529-7622 | |
Aria Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1648 Plaza Way, Walla Walla, WA 99362 Phone: 509-522-2220 Fax: 509-522-0171 |