# SONBRIDGE COMMUNITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPPER COLUMBIA CONFERENCE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134534084
- **Legal business name:** UPPER COLUMBIA CONFERENCE
- **Authorized official:** DR. MELVIN S LANG PHD (DIRECTOR)
- **Authorized official phone:** (509) 301-3460

## Contact information

- **Practice address:** 1200 SE 12TH ST, COLLEGE PLACE, WA 99324-1827
- **Practice address phone:** (509) 529-3100
- **Mailing address:** 1200 SE 12TH ST, COLLEGE PLACE, WA 99324-1827
- **Mailing address phone:** (509) 529-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 603318670 | WA | Yes |

## Other

- **Enumeration date:** 06/29/2014
- **Last updated:** 06/29/2014