| Pacific Northwest Dental Group, Llc | |
|
2728 Westmoor Ct Sw Ste D Olympia WA 98502-5779 | |
| (360) 995-0025 | |
| (360) 995-0027 |
| Full Name | Pacific Northwest Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2728 Westmoor Ct Sw Ste D, Olympia, Washington |
| Authorized Official Name and Position | Chad Kleven (OWNER) |
| Authorized Official Contact | 3609950025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Dental Group, Llc 870 11th Ave Longview WA 98632-2402 Ph: () - | Pacific Northwest Dental Group, Llc 2728 Westmoor Ct Sw Ste D Olympia WA 98502-5779 Ph: (360) 995-0025 |
| NPI Number | 1205412467 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205412467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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