Clark County Dental & Denture Clinic

NPI #1982628939 in Vancouver, Washington

Provider Information

NPI Number: 1982628939
Entity Type: Organization
Organization Name: Clark County Dental & Denture Clinic
Primary Specialty: Denturist
Enumeration Date: Jul 26, 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: MRS. SALLY IRENE FETTIG
Title: PRESIDENT
Phone: (360) 892-7107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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