| Vancouver Orthodontic Specialists Pllc | |
|
406 Se 131st Ave Ste 306 Vancouver WA 98683-4014 | |
| (360) 883-6713 | |
| (360) 882-0386 |
| Full Name | Vancouver Orthodontic Specialists Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 406 Se 131st Ave Ste 306, Vancouver, Washington |
| Authorized Official Name and Position | Durk V Irwin (ORTHODONTIST/ OWNER) |
| Authorized Official Contact | 3608836713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Orthodontic Specialists Pllc 406 Se 131st Ave Ste 306 Vancouver WA 98683-4014 Ph: (360) 883-6713 | Vancouver Orthodontic Specialists Pllc 406 Se 131st Ave Ste 306 Vancouver WA 98683-4014 Ph: (360) 883-6713 |
| NPI Number | 1811121528 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811121528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8025 (Washington) | Primary |
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