Newport Dental

NPI #1720535297 in Newport, Washington

Provider Information

NPI Number: 1720535297
Entity Type: Organization
Organization Name: Newport Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 610 WEST SECOND ST.
Address 2: BOX 849
City: Newport
State: Washington
ZIP Code: 99156
Phone: (509) 447-3105

Authorized Official

Name: JAMES GARY COOL, DMD
Title: DENTIST
Phone: (509) 447-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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