| Dental Service, Llc | |
|
14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 | |
| (360) 571-8181 | |
| (360) 573-4022 |
| Full Name | Dental Service, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14201 Ne 20th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Kevin Boie (CFO) |
| Authorized Official Contact | 3605718181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Service, Llc 14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 Ph: (360) 571-8181 | Dental Service, Llc 14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 Ph: (360) 571-8181 |
| NPI Number | 1396126850 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396126850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00005337 (Washington) | Primary |
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