Willamette Dental Group
NPI #1972919496 in Yakima, Washington
Provider Information
- NPI Number
- 1972919496
- Entity Type
- Organization
- Organization Name
- Willamette Dental Group
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 3, 2014
- Last Updated
- Jul 3, 2014
Practice Location
- Address
- 1200 CHESTERLY DR
- City
- Yakima
- State
- Washington
- ZIP Code
- 98902-7338
- Phone
- (509) 452-7825
Authorized Official
- Name
- EUGENE SKOURTES, DMD
- Title
- OWNER/CEO
- Phone
- (855) 433-6825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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