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Organization
SAGEBRUSH DENTAL LLC
Active
Organization
SAGEBRUSH DENTAL LLC
Active
Other names
SageBrush Dental LLC, SageBrush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH JURGES DDS (DENTIST)
(509) 436-8202
Entity
Organization
Contact information
Practice address
1114 N MISSION ST STE A, WENATCHEE, WA 98801-6711
(509) 436-8202
Mailing address
1114 N MISSION ST STE A, WENATCHEE, WA 98801-6711
(509) 436-8202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942650049
MEDICARE/ MEDICAID NOT ACCEPTED
WA
Enumeration date
02/27/2019
Last updated
05/28/2019
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