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Organization
WENATCHEE DENTAL ARTS
Active
Organization
WENATCHEE DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DIVIS DDS, PS (OWNER)
(509) 664-2920
Entity
Organization
Contact information
Practice address
417 N MISSION ST, WENATCHEE, WA 98801-2007
(509) 664-2920
(509) 663-1453
Mailing address
417 N MISSION ST, WENATCHEE, WA 98801-2007
(509) 664-2920
(509) 663-1453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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