Undertheseadentistryforchildren

NPI 1396915500 - Dentist - 1223P0221X

NPI Details
NPI 1396915500
Enumeration Date 03/04/2008
Last Updated 03/04/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAMELA DENICE PAMELA
Position OWNER/PEDIATRIC DENTIST
Phone (360) 891-9283
Fax (360) 891-8030
Practice Location
3205 SE 192ND AVE
SUITE#100
VANCOUVER WA, 98683-1467, US
Phone (360) 891-9283
Fax (360) 891-8030
Business Location
3205 SE 192ND AVE
SUITE#100
VANCOUVER WA, 98683, US
Phone (360) 891-9283
Fax (360) 891-8030
Toxanomy
Taxonomy Code 1223P0221X
License State Washington
License Number DE00010355
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According to our database, Undertheseadentistryforchildren NPI is 1396915500, taxonomy code is 1223P0221X and license number is DE00010355, license state is located at Washington. Undertheseadentistryforchildren physically located at 3205 Se 192nd Ave, Vancouver WA, 98683-1467. NPI Number 1033115704 has the healthcare provider type.

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1396915500 NPI number is provided on an as is basis without warranty of any kind. 1396915500 is maintained by the National Plan & Provider Enumeration System. The contents of Undertheseadentistryforchildren are for informational purposes only.