| Nicolas K Reep Dds Ps | |
|
3804 Kern Way Suite A Yakima WA 98902-6336 | |
| (509) 248-0986 | |
| (509) 248-1160 |
| Full Name | Nicolas K Reep Dds Ps |
|---|---|
| Speciality | Dentist |
| Location | 3804 Kern Way, Yakima, Washington |
| Authorized Official Name and Position | Nicolas Karl Reep (OWNER/ DENTIST) |
| Authorized Official Contact | 5092480986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas K Reep Dds Ps 3804 Kern Way Suite A Yakima WA 98902-6336 Ph: (509) 248-0986 | Nicolas K Reep Dds Ps 3804 Kern Way Suite A Yakima WA 98902-6336 Ph: (509) 248-0986 |
| NPI Number | 1093844953 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093844953 | NPI | - | NPPES |
| 5048152 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10122 (Washington) | Primary |
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