| Yoder, Grieser & Sullivan, DDS, LLP | |
|
1880 Pottery Ave Ste 200 Port Orchard WA 98366-2518 | |
| (360) 895-4321 | |
| (360) 895-4326 |
| Full Name | Yoder, Grieser & Sullivan, DDS, LLP |
|---|---|
| Speciality | Dentist |
| Location | 1880 Pottery Ave Ste 200, Port Orchard, Washington |
| Authorized Official Name and Position | Bruce L Yoder (PARTNER) |
| Authorized Official Contact | 3608954321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yoder, Grieser & Sullivan, DDS, LLP 1880 Pottery Ave Ste 200 Port Orchard WA 98366-2518 Ph: (360) 895-4321 | Yoder, Grieser & Sullivan, DDS, LLP 1880 Pottery Ave Ste 200 Port Orchard WA 98366-2518 Ph: (360) 895-4321 |
| NPI Number | 1336346402 |
|---|---|
| Provider Enumeration Date | 07/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336346402 | NPI | - | NPPES |
| 5025796 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5975 (Washington) | Primary |
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