| Penny C Walpole Dds Ps | |
|
15701 E Sprague Ave Ste F Veradale WA 99037 | |
| (509) 922-4809 | |
| (509) 922-8718 |
| Full Name | Penny C Walpole Dds Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15701 E Sprague Ave, Veradale, Washington |
| Authorized Official Name and Position | Penny C Walpole (PRESIDENT) |
| Authorized Official Contact | 5099224809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penny C Walpole Dds Ps 15701 E Sprague Ave Ste F Veradale WA 99037 Ph: (509) 922-4809 | Penny C Walpole Dds Ps 15701 E Sprague Ave Ste F Veradale WA 99037 Ph: (509) 922-4809 |
| NPI Number | 1376572511 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376572511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE7995 (Washington) | Primary |