| Stirewalt Pc | |
|
24040 Se Kent Kangley Rd Suite E200 Maple Valley WA 98038 | |
| (714) 428-2000 | |
| Not Available |
| Full Name | Stirewalt Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24040 Se Kent Kangley Rd, Maple Valley, Washington |
| Authorized Official Name and Position | Charles Stirewalt (PRESIDENT) |
| Authorized Official Contact | 7144282000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stirewalt Pc 24040 Se Kent Kangley Rd Suite E200 Maple Valley WA 98038 Ph: (714) 428-2000 | Stirewalt Pc 24040 Se Kent Kangley Rd Suite E200 Maple Valley WA 98038 Ph: (714) 428-2000 |
| NPI Number | 1548515216 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548515216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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