| Suzanne R Megenity DDS PS | |
|
1801 1st Avenue Suite 2a Longview WA 98632 | |
| (360) 423-4313 | |
| (360) 425-1965 |
| Full Name | Suzanne R Megenity DDS PS |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1801 1st Avenue Suite 2a, Longview, Washington |
| Authorized Official Name and Position | Suzanne R Megenity (DR) |
| Authorized Official Contact | 3604234313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne R Megenity DDS PS 1801 1st Avenue Suite 2a Longview WA 98632 Ph: (360) 423-4313 | Suzanne R Megenity DDS PS 1801 1st Avenue Suite 2a Longview WA 98632 Ph: (360) 423-4313 |
| NPI Number | 1306952643 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306952643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DE00005356 (Washington) | Primary |
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