Gagneja, Bds, Pllc

NPI 1033460183 - Dentist - 1223P0221X

NPI Details
NPI 1033460183
Enumeration Date 09/28/2012
Last Updated 09/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PRASHANT PRASHANT
Position PRINCIPAL/CO-OWNER
Phone (360) 772-9547
Fax
Practice Location
601 SE 117TH AVE
STE 150
VANCOUVER WA, 98683-5297, US
Phone (360) 772-9547
Fax
Business Location
601 SE 117TH AVE
STE 150
VANCOUVER WA, 98683-5297, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Washington
License Number DE00010029
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According to our database, Gagneja, Bds, Pllc NPI is 1033460183, taxonomy code is 1223P0221X and license number is DE00010029, license state is located at Washington. Gagneja, Bds, Pllc physically located at 601 Se 117th Ave, Vancouver WA, 98683-5297. NPI Number 1033115704 has the healthcare provider type.

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1033460183 NPI number is provided on an as is basis without warranty of any kind. 1033460183 is maintained by the National Plan & Provider Enumeration System. The contents of Gagneja, Bds, Pllc are for informational purposes only.