| Gagneja, Bds, Pllc | |
|
601 Se 117th Ave Ste 150 Vancouver WA 98683-5297 | |
| (360) 464-4800 | |
| Not Available |
| Full Name | Gagneja, Bds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 601 Se 117th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Prashant Gagneja (PRINCIPAL) |
| Authorized Official Contact | 3604644800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gagneja, Bds, Pllc 601 Se 117th Ave Ste 150 Vancouver WA 98683-5297 Ph: (360) 464-4800 | Gagneja, Bds, Pllc 601 Se 117th Ave Ste 150 Vancouver WA 98683-5297 Ph: (360) 464-4800 |
| NPI Number | 1215365051 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215365051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 00010029 (Washington) | Primary |
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