Organization · Type 2 NPI

Undertheseadentistryforchildren

Pediatric Dentistry · Vancouver, WA

NPI number 1396915500 Active

Practice location

3205 SE 192nd Ave, SUITE#100
Vancouver, WA 98683-1467

Call (360) 891-9283 Map

Fax (360) 891-8030

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDE00010355 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396915500

Undertheseadentistryforchildren's National Provider Identifier is 1396915500, issued on Mar 4, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vancouver, WA. The record was last updated on Mar 4, 2008.