Organization · Type 2 NPI
The Dentist@felida
Dental Clinic/Center · Vancouver, WA
NPI number
1104329994
Active
Practice location
10710 NW Lakeshore Ave
Vancouver, WA 98685-4786
Mailing address
2012 S 19th Way
Ridgefield, WA 98642-9279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DE60567260 (WA) |
Dental Clinic/Center: Definition to come...
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About NPI 1104329994
The Dentist@felida's National Provider Identifier is 1104329994, issued on Mar 17, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 17, 2018.