| Mt Si Dental Center | |
|
208 Main Ave S North Bend WA 98045-8258 | |
| (425) 888-6522 | |
| Not Available |
| Full Name | Mt Si Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 Main Ave S, North Bend, Washington |
| Authorized Official Name and Position | Kris W Brain (DENTIST) |
| Authorized Official Contact | 4258886522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Si Dental Center Po Box 1099 North Bend WA 98045-1099 Ph: (425) 888-6522 | Mt Si Dental Center 208 Main Ave S North Bend WA 98045-8258 Ph: (425) 888-6522 |
| NPI Number | 1932279304 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932279304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7403 (Washington) | Primary |
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