CLARK COUNTY DENTAL & DENTURE CLINIC NPI 1982628939

NPI Information

CLARK COUNTY DENTAL & DENTURE CLINIC is a denturist in Vancouver, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. CLARK COUNTY DENTAL & DENTURE CLINIC NPI is 1982628939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 NE 114TH AVE
# K-6
VANCOUVER, WA
ZIP 98684-289
Phone: (360) 892-7107
Fax: (360) 891-8361

The provider's authorized official is Sally Irene Fettig .
The authorized official title is President and has the following contact phone number (360) 892-7107.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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