East Fork Dental LLC
NPI #1578034526 in Battle Ground, Washington
Provider Information
- NPI Number
- 1578034526
- Entity Type
- Organization
- Organization Name
- East Fork Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Dec 16, 2018
Practice Location
- Address
- 15 SW 20TH AVE
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604-3133
- Phone
- (360) 687-5665
Authorized Official
- Name
- DR. KARL ROSE, DDS
- Title
- OWNER
- Phone
- (360) 687-6556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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