| Edwards & Ketcher, Pllc | |
|
410 W Main St Elma WA 98541 | |
| (360) 861-8318 | |
| (360) 861-8539 |
| Full Name | Edwards & Ketcher, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 410 W Main St, Elma, Washington |
| Authorized Official Name and Position | Stephen Edwards (OWNER/MANAGER) |
| Authorized Official Contact | 3608618318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards & Ketcher, Pllc Po Box 1309 410 W Main St Elma WA 98541-1309 Ph: (360) 861-8318 | Edwards & Ketcher, Pllc 410 W Main St Elma WA 98541 Ph: (360) 861-8318 |
| NPI Number | 1760827380 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760827380 | NPI | - | NPPES |
| 1386734416 | Other | NPI | |
| 1427022326 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE000010695 (Washington) | Primary |