institution
Northwest Oral Health Outreach Llc
Dental Clinic/Center in Ellensburg, Washington
NPI 1629445929

Northwest Oral Health Outreach Llc is a Dental Clinic/Center based in Ellensburg, WA and is specialized in Dental. Northwest Oral Health Outreach Llc practices in Ellensburg, WA. The NPI Number for Northwest Oral Health Outreach Llc is 1629445929 and holds a License No. 603513887 (Washington).

The current practice location address for Northwest Oral Health Outreach Llc is 2353 Lower Green Canyon Rd, Ellensburg, WA and can be reached out via phone at 509-607-1872.

Location: 2353 Lower Green Canyon Rd, Ellensburg, WA, 98926-8514
institution
Provider Profile Details
NPI Number
1629445929
Provider Name
Northwest Oral Health Outreach Llc
Credential
Provider Entity Type
Organization
Address
2353 Lower Green Canyon Rd, Ellensburg, WA, 98926-8514
Phone Number
509-607-1872
Fax Number
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0255549 01 WA LABOR & INDUSTRIES
5060215 05 WA
institution
Provider Business Practice Location Address Details
Address
2353 Lower Green Canyon Rd
City
State
Zip
98926-8514
Phone Number
509-607-1872
Fax Number
person
Provider Business Mailing Address Details
Address
2353 Lower Green Canyon Rd
City
State
Zip
98926-8514
Phone Number
509-607-1872
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
603513887 (Washington)
Definition
Definition to come...
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