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Organization
VANCOUVER DENTAL LLC
Active
Organization
VANCOUVER DENTAL LLC
Active
Other names
Colombia River Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK BRINTON (OWNER)
(505) 273-4994
Entity
Organization
Contact information
Practice address
16600 SE 15TH ST, VANCOUVER, WA 98683-9501
(360) 878-7435
Mailing address
16600 SE 15TH ST, VANCOUVER, WA 98683-9501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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