Northwest Oral Health Outreach LLC
NPI #1629445929 in Ellensburg, Washington
Provider Information
- NPI Number
- 1629445929
- Entity Type
- Organization
- Organization Name
- Northwest Oral Health Outreach LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 21, 2015
- Last Updated
- Aug 21, 2015
Practice Location
- Address
- 2353 LOWER GREEN CANYON RD
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926-8514
- Phone
- (509) 607-1872
Authorized Official
- Name
- DR. BRENDEN J DAVIS, DMD, MPH
- Title
- CEO
- Phone
- (509) 607-1872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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