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Eleven Eleven Dental
Dental Clinic/Center in Port Angeles, Washington
NPI 1073763041

Eleven Eleven Dental is a Dental Clinic/Center based in Port Angeles, WA and is specialized in Dental. Eleven Eleven Dental practices in Port Angeles, WA. The NPI Number for Eleven Eleven Dental is 1073763041 and holds a License No. 602789281 (Washington).

The current practice location address for Eleven Eleven Dental is 1111 Columbia St, Port Angeles, WA and can be reached out via phone at 360-457-3183.

Location: 1111 Columbia St, Port Angeles, WA, 98362-4207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073763041
Provider Name
Eleven Eleven Dental
Credential
Provider Entity Type
Organization
Address
1111 Columbia St, Port Angeles, WA, 98362-4207
Phone Number
360-457-3183
Fax Number
Provider Enumeration Date
09/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Columbia St
City
Port Angeles
State
Washington
Zip
98362-4207
Phone Number
360-457-3183
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Columbia St
City
Port Angeles
State
Washington
Zip
98362-4207
Phone Number
360-457-3183
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
602789281 (Washington)
Definition
Definition to come...
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