| Dentall | |
|
10134 Halloran Rd Bow WA 98232-9366 | |
| (509) 643-2148 | |
| Not Available |
| Full Name | Dentall |
|---|---|
| Speciality | Dentist |
| Location | 10134 Halloran Rd, Bow, Washington |
| Authorized Official Name and Position | Jessica Dubek (DENTIST) |
| Authorized Official Contact | 5096432148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentall 10134 Halloran Rd Bow WA 98232-9366 Ph: (509) 643-2148 | Dentall 10134 Halloran Rd Bow WA 98232-9366 Ph: (509) 643-2148 |
| NPI Number | 1912765215 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912765215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |