| Dahlke Orthodontics Llc | |
|
1100 Station Dr Ste 281 Dupont WA 98327-9763 | |
| (253) 912-9383 | |
| (253) 912-1480 |
| Full Name | Dahlke Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1100 Station Dr, Dupont, Washington |
| Authorized Official Name and Position | Kirk R Dahlke (OWNER) |
| Authorized Official Contact | 2539129383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dahlke Orthodontics Llc 1100 Station Dr Ste 281 Dupont WA 98327-9763 Ph: (253) 912-9383 | Dahlke Orthodontics Llc 1100 Station Dr Ste 281 Dupont WA 98327-9763 Ph: (253) 912-9383 |
| NPI Number | 1245783190 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245783190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE 60615411 (Washington) | Primary |
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