| Deer Park Dental Pllc | |
|
118 E. Crawford St. Deer Park WA 99006 | |
| (509) 850-8061 | |
| Not Available |
| Full Name | Deer Park Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 118 E. Crawford St., Deer Park, Washington |
| Authorized Official Name and Position | Sandy Fletcher Montano (OWNER) |
| Authorized Official Contact | 7869557284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Park Dental Pllc Po Box 18184 Spokane WA 99228-0184 Ph: (509) 850-8061 | Deer Park Dental Pllc 118 E. Crawford St. Deer Park WA 99006 Ph: (509) 850-8061 |
| NPI Number | 1417572892 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417572892 | NPI | - | NPPES |
| 2085276 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Bates And Miller, Pllc, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 E J Street, Suite 2b, Deer Park, WA 99006 Phone: 509-276-8999 Fax: 509-276-8899 | |
Ryan L Bates Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 E Crawford St, Deer Park, WA 99006 Phone: 509-276-6996 Fax: 509-276-8899 |