NPI 1730451527

Alpha Denture Clinic, INC

Organisation Exclusive Provider Organization Marysville, WA

Practice location

Address: 1242 State Ave Suite G, Marysville, WA 98270-3672
Phone: (360) 658-0256
Fax: (360) 658-7280

Authorised official

Name: Dorothy Jensen
Title: Business Mgr
Phone: (360) 658-0256

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence DN000021 (WA)

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1730451527
Entity type: Organization
NPI issued: 8 Feb 2012
Record last updated: 8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.