| Victor Immel, Dmd, Ps | |
|
1506 Summitview Ave Yakima WA 98902-2943 | |
| (509) 457-5387 | |
| (509) 457-6580 |
| Full Name | Victor Immel, Dmd, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1506 Summitview Ave, Yakima, Washington |
| Authorized Official Name and Position | Victor D Immel (DIRECT OWNER) |
| Authorized Official Contact | 5094575387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Immel, Dmd, Ps 1506 Summitview Ave Yakima WA 98902-2943 Ph: (509) 457-5387 | Victor Immel, Dmd, Ps 1506 Summitview Ave Yakima WA 98902-2943 Ph: (509) 457-5387 |
| NPI Number | 1366536534 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366536534 | NPI | - | NPPES |
| 128266 | Other | WA | LABOR AND INDUSTRIES |
| IM1280 | Other | WA | BLUE SHIELD |
| 9643 | Other | WA | WDS |
| 5032222 | Other | WA | DSHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6921 (Washington) | Primary |
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