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White Swan Dental Clnic
Dental Clinic/Center in White Swan, Washington
NPI 1245378389

White Swan Dental Clnic is a Dental Clinic/Center based in White Swan, WA and is specialized in Dental. White Swan Dental Clnic practices in White Swan, WA. The NPI Number for White Swan Dental Clnic is 1245378389 and holds a License No. (Washington).

The current practice location address for White Swan Dental Clnic is 62 Bird Song Lane, White Swan, WA and can be reached out via phone at 509-874-2028.

Location: 62 Bird Song Lane, White Swan, WA, 87841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245378389
Provider Name
White Swan Dental Clnic
Credential
Provider Entity Type
Organization
Address
62 Bird Song Lane, White Swan, WA, 87841
Phone Number
509-874-2028
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100506 05 WA
21940 01 WA LABOR & INDSTRY MED #
51239 01 WA LABOR & INDSTRY RX #
institution
Provider Business Practice Location Address Details
Address
62 Bird Song Lane
City
White Swan
State
Washington
Zip
98952
Phone Number
509-874-2028
Fax Number
person
Provider Business Mailing Address Details
Address
62 Bird Song Lane
City
White Swan
State
Washington
Zip
98952
Phone Number
509-874-2028
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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