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German Wise Dental Llc
Dental Clinic/Center in Longview, Washington
NPI 1518520170

German Wise Dental Llc is a Dental Clinic/Center based in Longview, WA and is specialized in Dental. German Wise Dental Llc practices in Longview, WA. The NPI Number for German Wise Dental Llc is 1518520170 and holds a License No. (Washington).

The current practice location address for German Wise Dental Llc is 1538 11Th Ave, Longview, WA and can be reached out via phone at 360-636-3400 and via fax at 360-578-1277.

Location: 1538 11Th Ave, Longview, WA, 98632-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518520170
Provider Name
German Wise Dental Llc
Credential
Provider Entity Type
Organization
Address
1538 11Th Ave, Longview, WA, 98632-4123
Phone Number
360-636-3400
Fax Number
360-578-1277
Provider Enumeration Date
04/19/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417416728 01 WA DENTAL
DE60795714 01 WA DENTAL
institution
Provider Business Practice Location Address Details
Address
1538 11Th Ave
City
Longview
State
Washington
Zip
98632-4123
Phone Number
360-636-3400
Fax Number
360-578-1277
person
Provider Business Mailing Address Details
Address
1538 11Th Ave
City
Longview
State
Washington
Zip
98632-4123
Phone Number
360-636-3400
Fax Number
360-578-1277
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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