Southside Dental Care, Inc. P.s.
NPI #1609995927 in Bellingham, Washington
Provider Information
- NPI Number
- 1609995927
- Entity Type
- Organization
- Organization Name
- Southside Dental Care, Inc. P.s.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1215 OLD FAIRHAVEN PKWY
- Address 2
- SUITE #A
- City
- Bellingham
- State
- Washington
- ZIP Code
- 98225-7444
- Phone
- (360) 752-9000
Authorized Official
- Name
- DR. DONALD THOMAS WALTERS, DDS
- Title
- PRESIDENT
- Phone
- (360) 752-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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