Eleven Eleven Dental
NPI #1073763041 in Port Angeles, Washington
Provider Information
- NPI Number
- 1073763041
- Entity Type
- Organization
- Organization Name
- Eleven Eleven Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 25, 2008
- Last Updated
- Sep 25, 2008
Practice Location
- Address
- 1111 COLUMBIA ST
- City
- Port Angeles
- State
- Washington
- ZIP Code
- 98362-4207
- Phone
- (360) 457-3183
Authorized Official
- Name
- DR. GREGORY L BIRCH, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (360) 457-3183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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