Chad Wade, DDS

NPI #1881845873 in Longview, Washington

Provider Information

NPI Number: 1881845873
Entity Type: Individual
Name: Chad Wade, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 8, 2008
Last Updated: Dec 13, 2011

Practice Location

Address: 1057 12TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2509
Phone: (360) 636-3892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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