| Washington Dental Corporation, Pc | |
|
14411 Ne Fourth Plain Suite 134 Vancouver WA 98682 | |
| (360) 768-0936 | |
| Not Available |
| Full Name | Washington Dental Corporation, Pc |
|---|---|
| Speciality | Dentist |
| Location | 14411 Ne Fourth Plain, Vancouver, Washington |
| Authorized Official Name and Position | Mariam Mena (OWNER) |
| Authorized Official Contact | 3607680936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Dental Corporation, Pc Po Box 920050 Dallas TX 75392-5626 Ph: (714) 845-8890 | Washington Dental Corporation, Pc 14411 Ne Fourth Plain Suite 134 Vancouver WA 98682 Ph: (360) 768-0936 |
| NPI Number | 1891258711 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891258711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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