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Organization
GENTECH DENTIST, P.C.
Active
Organization
GENTECH DENTIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BOIE (CHIEF FINANCIAL OFFICER)
(360) 571-8181
Entity
Organization
Contact information
Practice address
14201 NE 20TH AVE, SUITE 2204, VANCOUVER, WA 98686-6410
(360) 571-8181
(360) 573-4029
Mailing address
14201 NE 20TH AVE, SUITE 2204, VANCOUVER, WA 98686-6410
(360) 571-8181
(360) 573-4029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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