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Organization
EPP WASHINGTON PLLC
Active
Organization
EPP WASHINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (INSURANCE MANAGER)
(315) 450-0763
Entity
Organization
Contact information
Practice address
300 SE 120TH AVE STE 600, VANCOUVER, WA 98683-4020
(360) 699-1101
Mailing address
PO BOX 1584, BRENTWOOD, TN 37024-1584
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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