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Justin Wayne Fillmore, DDS
Pediatric Dentist in Yakima, Washington
NPI 1053651893

Justin Wayne Fillmore is a Pediatric Dentist based in Yakima, WA and is specialized in Pediatric Dentistry. Justin Wayne Fillmore practices in Yakima, WA and has the professional credentials of DDS. The NPI Number for Justin Wayne Fillmore is 1053651893 and holds a License No. 60299331 (Washington).

The current practice location address for Justin Wayne Fillmore is 2205 W Lincoln Ave, Yakima, WA and can be reached out via phone at 509-575-3399.

Location: 2205 W Lincoln Ave, Yakima, WA, 98908-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053651893
Provider Name
Justin Wayne Fillmore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2205 W Lincoln Ave, Yakima, WA, 98908-1722
Phone Number
509-575-3399
Fax Number
Provider Enumeration Date
02/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2205 W Lincoln Ave
City
Yakima
State
Washington
Zip
98902-2437
Phone Number
509-575-3399
Fax Number
person
Provider Business Mailing Address Details
Address
2205 W Lincoln Ave
City
Yakima
State
Washington
Zip
98902-2437
Phone Number
509-575-3399
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
60299331 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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