| Gregg Dentistry | |
|
700 N Devine Rd Suite A Vancouver WA 98661-6964 | |
| (360) 750-1385 | |
| Not Available |
| Full Name | Gregg Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 700 N Devine Rd, Vancouver, Washington |
| Authorized Official Name and Position | Gary Thomas Gregg (PRESIDENT) |
| Authorized Official Contact | 3607501385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Dentistry 700 N Devine Rd Suite A Vancouver WA 98661-6964 Ph: (360) 750-1385 | Gregg Dentistry 700 N Devine Rd Suite A Vancouver WA 98661-6964 Ph: (360) 750-1385 |
| NPI Number | 1063666832 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063666832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 600 477 520 (Washington) | Primary |
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