Clark County Dental & Denture Clinic
NPI #1962423129 in Vancouver, Washington
Provider Information
- NPI Number
- 1962423129
- Entity Type
- Organization
- Organization Name
- Clark County Dental & Denture Clinic
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2701 NE 114TH AVE
- Address 2
- # K-6
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-4289
- Phone
- (360) 892-7107
Authorized Official
- Name
- SALLY IRENE FETTIG
- Title
- BUSINESS MANAGER
- Phone
- (360) 892-7107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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