| Gentech Dentist | |
|
14201 Ne 20th Ave Ste B200 Vancouver WA 98686-6412 | |
| (360) 571-8181 | |
| (360) 573-4022 |
| Full Name | Gentech Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14201 Ne 20th Ave Ste B200, Vancouver, Washington |
| Authorized Official Name and Position | Kevin Boie (CHIEF FIANCIAL OFFICER) |
| Authorized Official Contact | 3605718181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentech Dentist 14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 Ph: (360) 571-8181 | Gentech Dentist 14201 Ne 20th Ave Ste B200 Vancouver WA 98686-6412 Ph: (360) 571-8181 |
| NPI Number | 1396792131 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396792131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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