Oepackardddspllc
NPI #1073774113 in Vancouver, Washington
Provider Information
- NPI Number
- 1073774113
- Entity Type
- Organization
- Organization Name
- Oepackardddspllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 20, 2008
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 9013 NE HIGHWAY 99
- Address 2
- SUITE M
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98665-8942
- Phone
- (360) 566-1400
Authorized Official
- Name
- DR. MATTHEW CARL ALDRIDGE, D.M.D.
- Title
- MANAGING DENTIST
- Phone
- (360) 566-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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