| Randle Dental Clinic | |
|
214 Silverbrook Rd Randle WA 98377 | |
| (360) 497-5741 | |
| (360) 497-5744 |
| Full Name | Randle Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 214 Silverbrook Rd, Randle, Washington |
| Authorized Official Name and Position | Ryan Lemert (DENTIST/OWNER) |
| Authorized Official Contact | 5038664741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randle Dental Clinic Po Box 248 Randle WA 98377-0248 Ph: (360) 497-5741 | Randle Dental Clinic 214 Silverbrook Rd Randle WA 98377 Ph: (360) 497-5741 |
| NPI Number | 1801143110 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801143110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60298156 (Washington) | Primary |